Provider Demographics
NPI:1568543205
Name:OIEN, CHRISTIAN DONALD (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:DONALD
Last Name:OIEN
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 1:525 5TH ST SE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WATERTOWN
Mailing Address - State:SD
Mailing Address - Zip Code:57201-4940
Mailing Address - Country:US
Mailing Address - Phone:605-886-8118
Mailing Address - Fax:605-884-0095
Practice Address - Street 1:525 5TH ST SE
Practice Address - Street 2:SUITE 2
Practice Address - City:WATERTOWN
Practice Address - State:SD
Practice Address - Zip Code:57201-4940
Practice Address - Country:US
Practice Address - Phone:605-886-8118
Practice Address - Fax:605-884-0095
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD992111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD40778Medicare ID - Type Unspecified