Provider Demographics
NPI:1083804207
Name:CHRISTOPHER BROWN CHIROPRACTIC PC
Entity Type:Organization
Organization Name:CHRISTOPHER BROWN CHIROPRACTIC PC
Other - Org Name:BROWN CHIROPRACTIC PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-988-4265
Mailing Address - Street 1:PO BOX 476
Mailing Address - Street 2:
Mailing Address - City:N TAZEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:24630-0476
Mailing Address - Country:US
Mailing Address - Phone:276-988-4265
Mailing Address - Fax:
Practice Address - Street 1:699 E RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:N TAZEWELL
Practice Address - State:VA
Practice Address - Zip Code:24630-9577
Practice Address - Country:US
Practice Address - Phone:276-988-4265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104002028111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty