Provider Demographics
NPI:1407190630
Name:LABADIE, CHRISTINE ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ELIZABETH
Last Name:LABADIE
Suffix:
Gender:F
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:PO BOX 1967
Mailing Address - Street 2:
Mailing Address - City:EDWARDS
Mailing Address - State:CO
Mailing Address - Zip Code:81632-1967
Mailing Address - Country:US
Mailing Address - Phone:970-926-9222
Mailing Address - Fax:970-926-9223
Practice Address - Street 1:128 MAIN STREET
Practice Address - Street 2:UNIT C6
Practice Address - City:EDWARDS
Practice Address - State:CO
Practice Address - Zip Code:81632
Practice Address - Country:US
Practice Address - Phone:970-926-9222
Practice Address - Fax:970-926-9223
Is Sole Proprietor?:No
Enumeration Date:2012-11-10
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR7020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor