Provider Demographics
NPI:1326197583
Name:GOOD, CHRISTOPHER LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:LEE
Last Name:GOOD
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 1:231 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-2612
Mailing Address - Country:US
Mailing Address - Phone:740-773-4663
Mailing Address - Fax:740-774-1400
Practice Address - Street 1:231 E 2ND ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-2612
Practice Address - Country:US
Practice Address - Phone:740-773-4663
Practice Address - Fax:740-774-1400
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3269111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2332Medicaid
OH2328556Medicaid
OHGO4086701Medicare ID - Type UnspecifiedPROVIDER NUMBER
OH4086701Medicare PIN
OH2332Medicaid
OHCHSP03991Medicare PIN