Provider Demographics
NPI:1508218264
Name:MOSIER, CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:MOSIER
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 1:304 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:IN
Mailing Address - Zip Code:47167-2120
Mailing Address - Country:US
Mailing Address - Phone:812-883-9779
Mailing Address - Fax:812-883-9778
Practice Address - Street 1:304 E MARKET ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:IN
Practice Address - Zip Code:47167-2120
Practice Address - Country:US
Practice Address - Phone:812-883-9779
Practice Address - Fax:812-883-9778
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-06
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002919A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor