Provider Demographics
NPI:1851579825
Name:OSWALD, CHRISTOPHER STEVEN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:STEVEN
Last Name:OSWALD
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 1:1830 WEBSTER ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-9320
Mailing Address - Country:US
Mailing Address - Phone:715-381-9680
Mailing Address - Fax:715-381-9685
Practice Address - Street 1:1830 WEBSTER ST
Practice Address - Street 2:SUITE 130
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-9320
Practice Address - Country:US
Practice Address - Phone:715-381-9680
Practice Address - Fax:715-381-9685
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5084111N00000X
WI5031-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100039355Medicaid
WI100039355Medicaid