Provider Demographics
NPI:1093954638
Name:FABIJANIC, CHRISTOPHER (LAC,NCCAOM)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:
Last Name:FABIJANIC
Suffix:
Gender:M
Credentials:LAC,NCCAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 RED BLUFF LN
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-4556
Mailing Address - Country:US
Mailing Address - Phone:970-618-1537
Mailing Address - Fax:970-930-6150
Practice Address - Street 1:3950 MIDLAND AVE STE 3
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-4605
Practice Address - Country:US
Practice Address - Phone:970-618-1537
Practice Address - Fax:970-930-6150
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1140171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist