Individual
NICHOLAS P CHRISTOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 LINCOLN PARK BLVD, SUITE 100, KETTERING, OH 45429-6410
(937) 222-3118
(937) 222-1436
Mailing address
500 LINCOLN PARK BLVD, SUITE 100, KETTERING, OH 45429-6410
(937) 222-3118
(937) 222-1436
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
50517
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000004958
ANTHEM
—
05
—
0565562
—
OH
01
—
09533412900
BWC AND TRICARE
—
01
—
2186015
AETNA
—
01
—
310821503029
CARESSURCA
—
01
—
3108215037016
UMW
—
01
—
310921503
TAX ID
—
01
—
3120008
UHC
—
01
—
D50517
HUMANA
—
Enumeration date
11/23/2005
Last updated
01/23/2017
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