Provider Demographics
NPI:1508925447
Name:HORNER, CHRISTOPHER WALTER (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:WALTER
Last Name:HORNER
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 1:405 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:WARETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08758-1706
Mailing Address - Country:US
Mailing Address - Phone:160-924-2240
Mailing Address - Fax:160-924-2992
Practice Address - Street 1:405 ROUTE 9
Practice Address - Street 2:
Practice Address - City:WARETOWN
Practice Address - State:NJ
Practice Address - Zip Code:08758-1706
Practice Address - Country:US
Practice Address - Phone:160-924-2240
Practice Address - Fax:160-924-2992
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC00525700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ038547Medicare ID - Type Unspecified