Provider Demographics
NPI:1558331629
Name:AMATO, CHRISTOPHER C (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:C
Last Name:AMATO
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 1:950 FOLLY RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-3920
Mailing Address - Country:US
Mailing Address - Phone:843-762-2225
Mailing Address - Fax:843-795-7160
Practice Address - Street 1:950 FOLLY RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-3920
Practice Address - Country:US
Practice Address - Phone:843-762-2225
Practice Address - Fax:843-795-7160
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1519111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
570956178OtherBLUE CROSS
SCCH1519Medicaid
SCU335180281Medicare PIN
SCCH1519Medicaid