Provider Demographics
NPI:1003098864
Name:KEEFE, CHRISTINE (DC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:KEEFE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2051 HILLTOP DR
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-0218
Mailing Address - Country:US
Mailing Address - Phone:530-223-0859
Mailing Address - Fax:530-223-1191
Practice Address - Street 1:2051 HILLTOP DR
Practice Address - Street 2:SUITE 1A
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0218
Practice Address - Country:US
Practice Address - Phone:530-223-0859
Practice Address - Fax:530-223-1191
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC0117560111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0117561Medicare PIN