Provider Demographics
NPI:1821220377
Name:PERKINS, CHRISTOPHER RICHARD (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:RICHARD
Last Name:PERKINS
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 1:33966 W 8 MILE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-5273
Mailing Address - Country:US
Mailing Address - Phone:248-478-6203
Mailing Address - Fax:248-478-6205
Practice Address - Street 1:33966 W 8 MILE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48335-5273
Practice Address - Country:US
Practice Address - Phone:248-478-6203
Practice Address - Fax:248-478-6205
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009527111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP53870002Medicare PIN