Provider Demographics
NPI:1437202769
Name:EFTHIMIOU, CHRISTOS A (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOS
Middle Name:A
Last Name:EFTHIMIOU
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 1:8323 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-2342
Mailing Address - Country:US
Mailing Address - Phone:330-609-5533
Mailing Address - Fax:330-609-5553
Practice Address - Street 1:8323 E MARKET ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2342
Practice Address - Country:US
Practice Address - Phone:330-609-5533
Practice Address - Fax:330-609-5553
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3119111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH300024250-00OtherOHIO BWC
OH300024250OtherTAX ID NUMBER
OH300024250-00OtherOHIO BWC
OHCO9321301Medicare ID - Type UnspecifiedGRP
OH2289296Medicaid
OH4071251Medicare PIN