Provider Demographics
NPI:1568811453
Name:GROSS, CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:GROSS
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 1:8181 EMERALD CREEK LN
Mailing Address - Street 2:# 201
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-2071
Mailing Address - Country:US
Mailing Address - Phone:314-686-5615
Mailing Address - Fax:
Practice Address - Street 1:8181 EMERALD CREEK LN
Practice Address - Street 2:# 201
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-2071
Practice Address - Country:US
Practice Address - Phone:314-686-5615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor