Provider Demographics
NPI:1235145251
Name:REED, CHRISTOPHER W (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:W
Last Name:REED
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 1:3405 MARKET PLACE AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-9203
Mailing Address - Country:US
Mailing Address - Phone:501-847-0868
Mailing Address - Fax:501-512-1759
Practice Address - Street 1:3405 MARKET PLACE AVE STE 100
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-8075
Practice Address - Country:US
Practice Address - Phone:501-847-0868
Practice Address - Fax:501-512-1759
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1647111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARP00224957OtherRAILROAD MEDICARE
AR5Y228OtherBLUE CROSS
AR670408OtherUNITED HEALTHCARE
AR7265740OtherAETNA
AR7265740OtherAETNA
AR5Y228Medicare ID - Type Unspecified