Provider Demographics
NPI:1346239530
Name:BENOIT, CHRISTOPHER A (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:A
Last Name:BENOIT
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 1:263 TOM MILLER RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-6429
Mailing Address - Country:US
Mailing Address - Phone:518-563-7616
Mailing Address - Fax:518-563-3758
Practice Address - Street 1:263 TOM MILLER RD
Practice Address - Street 2:SUITE 1
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-6429
Practice Address - Country:US
Practice Address - Phone:518-563-7616
Practice Address - Fax:518-563-3758
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-19
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006703-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY141743409OtherMPN, BC/BS EXCELLUS
NY1035617OtherMETRACOMP
NYP5800568OtherGHI
VT49777OtherBC/BS OF VERMONT
NYX4785OtherEMPIRE HEALTHCHOICE
NYC06703-5BOtherWORKERS COMPENSATION
NYC06703-5BOtherWORKERS COMPENSATION
NYP5800568OtherGHI