Provider Demographics
NPI:1164447132
Name:CIANCI, CHRISTOPHER GERARD (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:GERARD
Last Name:CIANCI
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 1:543 WINDY HILL RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-6957
Mailing Address - Country:US
Mailing Address - Phone:610-399-9904
Mailing Address - Fax:
Practice Address - Street 1:1101 S BROAD ST
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-5393
Practice Address - Country:US
Practice Address - Phone:215-631-1595
Practice Address - Fax:215-631-1596
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005306-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA549819OtherAETNA PROVIDER ID
PA211956000OtherGROUP HIGHMARK BS ID
PA0675501000OtherINDIVIDUAL HIGHMARK BS ID
PA0675501000OtherINDIVIDUAL HIGHMARK BS ID