Individual
DR. CHRISTOPHER JOE NORTHUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-9528
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-6842
(815) 717-8339
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101234669
VA
208600000X
Surgery Physician
036-157284
IL
208600000X
Surgery Physician
35-091634
OH
208600000X
Surgery Physician
Primary
69860
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036157284
—
IL
01
—
H91580
MEDICARE UPIN
IL
01
—
Q00186376
RAILROAD MEDICARE
IL
Enumeration date
11/07/2006
Last updated
03/11/2024
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