Provider Demographics
NPI:1346609104
Name:EDDY, CHRISTOPHER EVAN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:EVAN
Last Name:EDDY
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 1:2155 HOLLOW BROOK DRIVE
Mailing Address - Street 2:SUITE 70
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1455
Mailing Address - Country:US
Mailing Address - Phone:719-445-0806
Mailing Address - Fax:719-445-0998
Practice Address - Street 1:2155 HOLLOW BROOK DRIVE
Practice Address - Street 2:SUITE 70
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1455
Practice Address - Country:US
Practice Address - Phone:719-445-0806
Practice Address - Fax:719-445-0998
Is Sole Proprietor?:No
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007372111N00000X
COEL.2786470111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor