Provider Demographics
NPI:1235674771
Name:FOLTANSKI, CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:FOLTANSKI
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 1:2728 W MALLARD CREEK CHURCH RD STE 330
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-2309
Mailing Address - Country:US
Mailing Address - Phone:980-585-4005
Mailing Address - Fax:980-585-4012
Practice Address - Street 1:2728 W MALLARD CREEK CHURCH RD STE 330
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-2309
Practice Address - Country:US
Practice Address - Phone:980-585-4005
Practice Address - Fax:908-585-4012
Is Sole Proprietor?:No
Enumeration Date:2016-12-19
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009762111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor