Provider Demographics
NPI:1477656346
Name:FERRARO, CHRISTOPHER J (DC)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:J
Last Name:FERRARO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:MR
Other - First Name:CHRISTOPHER
Other - Middle Name:JOSEPH
Other - Last Name:FERRARO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:7974 HAVEN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3052
Mailing Address - Country:US
Mailing Address - Phone:909-980-1985
Mailing Address - Fax:909-481-7151
Practice Address - Street 1:7974 HAVEN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3052
Practice Address - Country:US
Practice Address - Phone:909-980-1985
Practice Address - Fax:909-481-7151
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24359111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC24359Medicare ID - Type UnspecifiedMEDICARE #
CADC0243590Medicare UPIN