Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4881 | NC |
NPI | 1003319419 |
---|---|
Provider Name | Dr. Christopher Paul Gehrke |
First Address | Mooresville, NC 28115-3464 |
Second Address | Huntersville, NC 28078-5008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2018 |
Last Update Date | 12/03/2018 |