Provider Demographics
NPI:1801040761
Name:ULLOM, CHRISTOPHER AARON (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:AARON
Last Name:ULLOM
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:7101 CREEDMOOR RD
Mailing Address - Street 2:STE 102
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-1684
Mailing Address - Country:US
Mailing Address - Phone:919-848-3333
Mailing Address - Fax:919-848-3393
Practice Address - Street 1:8764 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-4049
Practice Address - Country:US
Practice Address - Phone:913-383-2276
Practice Address - Fax:913-383-2279
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2017-02-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC4518111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS01-05290OtherSTATE LICENSE