Provider Demographics
NPI:1144404294
Name:WHITEMAN, CHRISTA MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTA
Middle Name:MARIE
Last Name:WHITEMAN
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 1:8 SUN CREEK LANE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:STONE RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:12484
Mailing Address - Country:UM
Mailing Address - Phone:845-687-6387
Mailing Address - Fax:845-712-2371
Practice Address - Street 1:8 SUN CREEK LN STE 6
Practice Address - Street 2:
Practice Address - City:STONE RIDGE
Practice Address - State:NY
Practice Address - Zip Code:12484-5640
Practice Address - Country:US
Practice Address - Phone:845-687-6387
Practice Address - Fax:845-712-2371
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70-011455111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor