Provider Demographics
NPI:1710224944
Name:STANCHUK, CHRISTA NOEL (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTA
Middle Name:NOEL
Last Name:STANCHUK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CHRISTA
Other - Middle Name:NOEL
Other - Last Name:SESKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:913 SW HIGGINS AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-1461
Mailing Address - Country:US
Mailing Address - Phone:406-926-1575
Mailing Address - Fax:406-926-1577
Practice Address - Street 1:913 SW HIGGINS AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59803-1461
Practice Address - Country:US
Practice Address - Phone:406-926-1575
Practice Address - Fax:406-926-1577
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTCHI-CHI-LIC-2348111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor