Provider Demographics
NPI:1679510200
Name:ANDERSON, CHRISTINE MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MARIE
Last Name:ANDERSON
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 1:8787 TURNPIKE DR
Mailing Address - Street 2:STE. 100
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-7031
Mailing Address - Country:US
Mailing Address - Phone:303-429-3770
Mailing Address - Fax:303-429-8980
Practice Address - Street 1:8787 TURNPIKE DR
Practice Address - Street 2:STE. 100
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-7031
Practice Address - Country:US
Practice Address - Phone:303-429-3770
Practice Address - Fax:303-429-8980
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2383111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COU59007Medicare UPIN
COC47333Medicare ID - Type Unspecified