Basic Information
| Provider Information | |||||||||
| NPI: | 1730176306 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VANHEMELRIJCK | ||||||||
| FirstName: | CHRISTOPHE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 DAVOL SQ | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | PROVIDENCE | ||||||||
| State: | RI | ||||||||
| PostalCode: | 029034754 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4014214000 | ||||||||
| FaxNumber: | 4012721456 | ||||||||
| Practice Location | |||||||||
| Address1: | 70 KENYON AVE | ||||||||
| Address2: | SUITE 321 | ||||||||
| City: | WAKEFIELD | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028794239 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4017830084 | ||||||||
| FaxNumber: | 4017820005 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/29/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD07493 | RI | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 04-00585 | 01 | RI | UNITED HEALTH CARE | OTHER | 27450-2 | 01 | RI | BCBS OF RI | OTHER | 410763 | 01 | RI | BLUE CHIP | OTHER | 26977 | 01 | RI | NEIGHBORHOOD HEALTH PLAN | OTHER | 63-00192 | 01 | RI | UNITED HEALTH CRE | OTHER | 12029183 | 01 | RI | MULTIPLAN | OTHER | 26625-3 | 01 | RI | BCBS OF RI | OTHER | 7004147 | 05 | RI | MEDICAID | 4800946 | 01 | RI | CIGNA | OTHER | 763658 | 01 | RI | TUFTS HEALTH PLAN | OTHER | 004118 | 01 | RI | BLUE CHIP | OTHER | P00251572 | 01 | RI | RAILRAOD MEDICARE | OTHER |