Provider Demographics
NPI:1447218441
Name:HALL, CHRISTINE BUI (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:BUI
Last Name:HALL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:BUI
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 1451
Mailing Address - Street 2:
Mailing Address - City:NAGS HEAD
Mailing Address - State:NC
Mailing Address - Zip Code:27959-1451
Mailing Address - Country:US
Mailing Address - Phone:252-480-1001
Mailing Address - Fax:252-480-0196
Practice Address - Street 1:107 DOWITCHER STREET
Practice Address - Street 2:
Practice Address - City:NAGS HEAD
Practice Address - State:NC
Practice Address - Zip Code:27959
Practice Address - Country:US
Practice Address - Phone:252-480-1001
Practice Address - Fax:252-480-0196
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3221111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCU98249Medicare UPIN
NC2456729AMedicare ID - Type UnspecifiedCHIROPRACTIC