Provider Demographics
NPI:1629020185
Name:BAILEY, CHRISTOPHER EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:EDWARD
Last Name:BAILEY
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 1:638 LONDONDERRY LN
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-5379
Mailing Address - Country:US
Mailing Address - Phone:940-565-8118
Mailing Address - Fax:940-387-3070
Practice Address - Street 1:638 LONDONDERRY LN
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-5379
Practice Address - Country:US
Practice Address - Phone:940-565-8118
Practice Address - Fax:940-387-3070
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8275111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX606273OtherBCBS PROVIDER #
TX7703338OtherAETNA PROVIDER #
TX665282OtherACN PROVIDER #
TXDC8275Medicare UPIN
8E0345Medicare PIN