Provider Demographics
NPI:1558574053
Name:DAWN M. CHRISTMAN, D.C., P.C.
Entity Type:Organization
Organization Name:DAWN M. CHRISTMAN, D.C., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CHRISTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-200-6500
Mailing Address - Street 1:3239 LEMAY FERRY RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63125-4419
Mailing Address - Country:US
Mailing Address - Phone:314-200-6500
Mailing Address - Fax:314-200-6500
Practice Address - Street 1:3239 LEMAY FERRY RD
Practice Address - Street 2:SUITE B
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63125-4419
Practice Address - Country:US
Practice Address - Phone:314-200-6500
Practice Address - Fax:314-200-6500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006672111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty