Provider Demographics
NPI:1588928188
Name:PERSINGER, CHRISTINE LEE (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:LEE
Last Name:PERSINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 NORTHPARKE DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45503-1117
Mailing Address - Country:US
Mailing Address - Phone:937-390-1700
Mailing Address - Fax:937-390-2471
Practice Address - Street 1:211 NORTHPARKE DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-1117
Practice Address - Country:US
Practice Address - Phone:937-390-1700
Practice Address - Fax:937-390-2471
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE27834207QA0505X
OH35.138119207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine