Provider Demographics
NPI:1508862301
Name:BURNS, CHRISTOPHER T (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:T
Last Name:BURNS
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 1:67343 WARNOCK ST CLAIRSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-8433
Mailing Address - Country:US
Mailing Address - Phone:740-695-4936
Mailing Address - Fax:740-695-4946
Practice Address - Street 1:67343 WARNOCK ST CLAIRSVILLE RD
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-8433
Practice Address - Country:US
Practice Address - Phone:740-695-4936
Practice Address - Fax:740-695-4946
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2960111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2960OtherHEALTH PLAN
WV1053766OtherWORKER'S COMPENSATION
WV341929861-001OtherMOUNTAIN STATE BC/BS
OH2183980Medicaid
OH341929861-00OtherWORKER'S COMPENSATION
OH000000192317OtherANTHEM BC/BS
OH000000192317OtherANTHEM BC/BS
OHU80670Medicare UPIN