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Dr. Christopher Van Macomb, DO
Student in an Organized Health Care Education/Training Program in Fort Campbell, Kentucky
NPI 1801324256

Christopher Van Macomb is a Student in an Organized Health Care Education/Training Program based in Fort Campbell, KY. Christopher Van Macomb practices in Fort Campbell, KY and has the professional credentials of DO. The NPI Number for Christopher Van Macomb is 1801324256 and holds a License No. 0102205524 (Kentucky).

The current practice location address for Christopher Van Macomb is 650 Joel Dr, Fort Campbell, KY and can be reached out via phone at 270-956-0560.

Location: 650 Joel Dr, Fort Campbell, KY, 42223-5318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801324256
Provider Name
Christopher Van Macomb
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
650 Joel Dr, Fort Campbell, KY, 42223-5318
Phone Number
270-956-0560
Fax Number
Provider Enumeration Date
05/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
650 Joel Dr
City
Fort Campbell
State
Kentucky
Zip
42223-5318
Phone Number
270-956-0560
Fax Number
person
Provider Business Mailing Address Details
Address
650 Joel Dr
City
Fort Campbell
State
Kentucky
Zip
42223-5318
Phone Number
270-956-0560
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Allergy & Immunology
Taxonomy
207RA0201X
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0102205524 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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