Provider Demographics
NPI:1558437475
Name:STAHL, CHRISTOPHER A (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:A
Last Name:STAHL
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 1:1416 E GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:SKANEATELES
Mailing Address - State:NY
Mailing Address - Zip Code:13152
Mailing Address - Country:US
Mailing Address - Phone:315-685-1422
Mailing Address - Fax:315-685-1422
Practice Address - Street 1:1416 E GENESEE ST
Practice Address - Street 2:
Practice Address - City:SKANEATELES
Practice Address - State:NY
Practice Address - Zip Code:13152
Practice Address - Country:US
Practice Address - Phone:315-685-1422
Practice Address - Fax:315-685-1422
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0081151111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
605338OtherAETNA
NYX0081151OtherWORKERS COMP
5899661OtherGHI
819861OtherNYSHIP UNITED HEALTH CARE
000022602OtherBCBS
5899661OtherGHI