Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | X007164-1 | NY |
NPI | 1003855636 |
---|---|
Provider Name | Dr. Michael Robert Christopher |
First Address | East Amherst, NY 14051-2085 |
Second Address | Williamsville, NY 14221-5710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
45588 | (02) | NY |