Provider Demographics
NPI:1659469823
Name:WHITE, CHRISTOPHER L (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:L
Last Name:WHITE
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 1:144 NEWBURYPORT TPKE
Mailing Address - Street 2:UNIT A6
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-2132
Mailing Address - Country:US
Mailing Address - Phone:978-948-8180
Mailing Address - Fax:978-948-2413
Practice Address - Street 1:144 NEWBURYPORT TPKE STE A6
Practice Address - Street 2:
Practice Address - City:ROWLEY
Practice Address - State:MA
Practice Address - Zip Code:01969
Practice Address - Country:US
Practice Address - Phone:978-948-8180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1603111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1603OtherMA STATE LICENSE
MAY36134OtherBLUECROSS MA ID
NH1020OtherNH STATE LICENSE