Provider Demographics
NPI:1619246253
Name:TIGGES, CHRISTOPHER LEO (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:LEO
Last Name:TIGGES
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:PO BOX 197
Mailing Address - Street 2:
Mailing Address - City:POLK CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50226-0197
Mailing Address - Country:US
Mailing Address - Phone:515-984-6300
Mailing Address - Fax:
Practice Address - Street 1:201 N 3RD ST
Practice Address - Street 2:SUITE J
Practice Address - City:POLK CITY
Practice Address - State:IA
Practice Address - Zip Code:50226-1260
Practice Address - Country:US
Practice Address - Phone:515-984-6300
Practice Address - Fax:515-984-6868
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-28
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007465111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor