Provider Demographics
NPI:1114087137
Name:VOGELMANN, CHRISTOPHER STUART (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:STUART
Last Name:VOGELMANN
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 1:901 N PITT ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-1536
Mailing Address - Country:US
Mailing Address - Phone:703-317-9500
Mailing Address - Fax:703-317-4900
Practice Address - Street 1:901 N PITT ST
Practice Address - Street 2:SUITE 150
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-1536
Practice Address - Country:US
Practice Address - Phone:703-317-9500
Practice Address - Fax:703-317-4900
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000759111N00000X
MDS01413111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA185857OtherPIN NUMBER ANTHEM BCBS
VAF629-0003OtherPIN NUMER CARE FIRST BCBS
VA185857OtherPIN NUMBER ANTHEM BCBS