Provider Demographics
NPI:1508925983
Name:SANDE, CHRISTOPHER JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:SANDE
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 1:445 UNION BLVD
Mailing Address - Street 2:121
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1237
Mailing Address - Country:US
Mailing Address - Phone:303-986-6176
Mailing Address - Fax:720-377-3056
Practice Address - Street 1:445 UNION BLVD
Practice Address - Street 2:121
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1237
Practice Address - Country:US
Practice Address - Phone:303-986-6176
Practice Address - Fax:720-377-3056
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4729111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC440548Medicare ID - Type Unspecified
COU74288Medicare UPIN