Provider Demographics
NPI:1528305851
Name:FINK, CHRISTIAN JOHN (BSRN)
Entity type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:JOHN
Last Name:FINK
Suffix:
Gender:M
Credentials:BSRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 WINTERS AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HAZLETON
Mailing Address - State:PA
Mailing Address - Zip Code:18202-3730
Mailing Address - Country:US
Mailing Address - Phone:570-233-5865
Mailing Address - Fax:
Practice Address - Street 1:405 WINTERS AVE
Practice Address - Street 2:
Practice Address - City:WEST HAZLETON
Practice Address - State:PA
Practice Address - Zip Code:18202
Practice Address - Country:US
Practice Address - Phone:570-233-5865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN510423L163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency