Provider Demographics
NPI:1699426932
Name:TOOMER, CHRISTOPHER BRIAN (MPA)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:BRIAN
Last Name:TOOMER
Suffix:
Gender:M
Credentials:MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5660 CAITO DR STE 126
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:IN
Mailing Address - Zip Code:46226-1368
Mailing Address - Country:US
Mailing Address - Phone:317-207-2175
Mailing Address - Fax:
Practice Address - Street 1:5660 CAITO DR STE 126
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:IN
Practice Address - Zip Code:46226-1368
Practice Address - Country:US
Practice Address - Phone:317-207-2175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program