Provider Demographics
NPI:1386636181
Name:NASON, CHRISTIAN WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:WILLIAM
Last Name:NASON
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 1:21734 PINK GINGER CT
Mailing Address - Street 2:
Mailing Address - City:WILDOMAR
Mailing Address - State:CA
Mailing Address - Zip Code:92595-7508
Mailing Address - Country:US
Mailing Address - Phone:951-285-6674
Mailing Address - Fax:
Practice Address - Street 1:21734 PINK GINGER CT
Practice Address - Street 2:
Practice Address - City:WILDOMAR
Practice Address - State:CA
Practice Address - Zip Code:92595-7508
Practice Address - Country:US
Practice Address - Phone:951-285-6674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-17
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22417111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor