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Individual
CHRIS WILLIAM FELLIN
Active
Individual
CHRIS WILLIAM FELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD039209E
PA
208D00000X
General Practice Physician
MD039209E
PA
208M00000X
Hospitalist Physician
Primary
MD039209E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110238261
RAILROAD MEDICARE
PA
05
—
11629520002
—
PA
01
—
118438711
DEPARTMENT OF LABOR
PA
01
—
214604G
GEISINGER
PA
01
—
232809429
TRICARE
PA
01
—
325055
HEALTH AMERICA
PA
01
—
414586
KEYSTONE
PA
01
—
50000875
CAPITAL BLUE CROSS
PA
Enumeration date
07/25/2006
Last updated
02/11/2021
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