Provider Demographics
NPI:1871632299
Name:CHRISTIANSEN, DON ROY (DC)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:ROY
Last Name:CHRISTIANSEN
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:PO BOX 85
Mailing Address - Street 2:
Mailing Address - City:SARANAC
Mailing Address - State:MI
Mailing Address - Zip Code:48881-0085
Mailing Address - Country:US
Mailing Address - Phone:616-642-9850
Mailing Address - Fax:
Practice Address - Street 1:79 N BRIDGE STREET
Practice Address - Street 2:
Practice Address - City:SARANAC
Practice Address - State:MI
Practice Address - Zip Code:48881-0085
Practice Address - Country:US
Practice Address - Phone:616-642-9850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI002914111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor