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DR. CHRISTINE MARIE CISNEROS M.D. NPI 1003004524


NPI Profile

NPI: 1003004524
Provider Name: DR. CHRISTINE MARIE CISNEROS, M.D.
Classification:Preventive Medicine - 2083X0100X
Entity Type: Individual

Specialization: Occupational Medicine

Address:
700 E BEARDSLEY AVE
STE 100
ELKHART, IN
ZIP 46514
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Phone: (574) 206-8010

DR. Christine Marie Cisneros, M.D. is an occupational medicine preventive medicine in Elkhart, IN. The provider is occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. DR. Christine Marie Cisneros, M.D. NPI is 1003004524. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

700 E BEARDSLEY AVE
STE 100
ELKHART, IN
ZIP 46514-366
Phone: (574) 206-8010

The enumeration date for this NPI number is 10/10/2007 and was last updated on 7/29/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204D00000XNeuromusculoskeletal Medicine & OMM4301407270MICHIGANNo
2204D00000XNeuromusculoskeletal Medicine & OMM036-108497ILLINOISNo
32083X0100XPreventive MedicineOccupational Medicine4301407270MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1700H231390OTHERMICHIGANBCBSM GROUP NUMBER
20P47270MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/9/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.