Provider Demographics
NPI:1225287659
Name:ROSEVEAR, CHRISTIAN T (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:T
Last Name:ROSEVEAR
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 1:989 GOVERNORS LN
Mailing Address - Street 2:STE 280
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1173
Mailing Address - Country:US
Mailing Address - Phone:859-219-1011
Mailing Address - Fax:859-219-1119
Practice Address - Street 1:989 GOVERNORS LN
Practice Address - Street 2:SUITE #280
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1173
Practice Address - Country:US
Practice Address - Phone:859-219-1011
Practice Address - Fax:859-219-1119
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5140111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100069880Medicaid
KY00823001Medicare PIN