Individual
DR. CHRISTOPHER AMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 802-3143
Mailing address
9661 WADING CRANE AVE, MCCORDSVILLE, IN 46055-9369
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01078157
IN
207P00000X
Emergency Medicine Physician
Primary
01078157A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001093979
INDIVIDUAL ANTHEM PIN
IN
Enumeration date
06/23/2014
Last updated
03/17/2018
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