Provider Demographics
NPI:1659420164
Name:BARANOWSKI, CHRISTINE PATRICIA (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:PATRICIA
Last Name:BARANOWSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 HUNTERS PASS
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87508-4815
Mailing Address - Country:US
Mailing Address - Phone:505-424-3976
Mailing Address - Fax:505-424-3976
Practice Address - Street 1:2905 RODEO PARK DR E
Practice Address - Street 2:BLDG #3
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-6313
Practice Address - Country:US
Practice Address - Phone:505-474-8555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1624111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor