Provider Demographics
NPI:1760496699
Name:CIANCI, CHRISTOPHER (DC)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:
Last Name:CIANCI
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 1:8737 BROOKS DRIVE
Mailing Address - Street 2:UNIT 201
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601
Mailing Address - Country:US
Mailing Address - Phone:410-820-4070
Mailing Address - Fax:410-820-5615
Practice Address - Street 1:8737 BROOKS DRIVE
Practice Address - Street 2:UNIT 201
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601
Practice Address - Country:US
Practice Address - Phone:410-820-4070
Practice Address - Fax:410-820-5615
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1514111N00000X
MDSO1514111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDU12956Medicare ID - Type Unspecified
MDM137Medicare PIN
MDM137Medicare UPIN