Provider Demographics
NPI:1093867400
Name:KEEZER, CHRISTOPHER HENRI (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:HENRI
Last Name:KEEZER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 COLBY AVE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-4979
Mailing Address - Country:US
Mailing Address - Phone:425-259-3700
Mailing Address - Fax:425-259-4283
Practice Address - Street 1:3701 COLBY AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4979
Practice Address - Country:US
Practice Address - Phone:425-259-3700
Practice Address - Fax:425-259-4283
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00033819111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0214283OtherLABOR AND INDUSTRIES
WA5059126OtherAETNA
WA2931KEOtherREGENCE
WACH00033819Medicaid
WA5059126OtherAETNA