Provider Demographics
NPI:1508940990
Name:LEWIS, CHRISTOPHER MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MICHAEL
Last Name:LEWIS
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 1:6711 MOUNTAIN VIEW RD
Mailing Address - Street 2:STE 115
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-6667
Mailing Address - Country:US
Mailing Address - Phone:423-415-7700
Mailing Address - Fax:423-541-7702
Practice Address - Street 1:6711 MOUNTAIN VIEW RD
Practice Address - Street 2:STE 115
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-6667
Practice Address - Country:US
Practice Address - Phone:423-825-5252
Practice Address - Fax:423-825-1228
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC2049111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3973860Medicare ID - Type Unspecified
TNU77956Medicare UPIN