Provider Demographics
NPI:1760777114
Name:FLINT, CHRISTOPHER BLAKE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BLAKE
Last Name:FLINT
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 1:325 JONES AVE
Mailing Address - Street 2:
Mailing Address - City:OAK HILL
Mailing Address - State:WV
Mailing Address - Zip Code:25901-2908
Mailing Address - Country:US
Mailing Address - Phone:304-465-4325
Mailing Address - Fax:304-465-4326
Practice Address - Street 1:325 JONES AVE
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:WV
Practice Address - Zip Code:25901-2908
Practice Address - Country:US
Practice Address - Phone:304-465-4325
Practice Address - Fax:304-465-4326
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV925111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor