Provider Demographics
NPI:1568519767
Name:KARMILOVICH, CHRISTOPHER JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:KARMILOVICH
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 1:1018 ARMORY DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:VA
Mailing Address - Zip Code:23851-1852
Mailing Address - Country:US
Mailing Address - Phone:757-569-8300
Mailing Address - Fax:757-569-8301
Practice Address - Street 1:1018 ARMORY DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851-1852
Practice Address - Country:US
Practice Address - Phone:757-569-8300
Practice Address - Fax:757-569-8301
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104-001112111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00W074C01Medicare ID - Type UnspecifiedMEDICARE INDIVIDUAL ID
VAC09206Medicare ID - Type UnspecifiedMEDICARE GROUP ID
VAU35355Medicare UPIN