Provider Demographics
NPI:1710957568
Name:GAST, CHRISTOPHER LLOYD (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:LLOYD
Last Name:GAST
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 1:4 E 4TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361-1856
Mailing Address - Country:US
Mailing Address - Phone:859-987-0743
Mailing Address - Fax:859-988-0742
Practice Address - Street 1:4 E 4TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361-1856
Practice Address - Country:US
Practice Address - Phone:859-987-0743
Practice Address - Fax:859-988-0742
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4004111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor