Provider Demographics
NPI:1891766655
Name:FALCON, CHRISTOPHER W (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:W
Last Name:FALCON
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 1:1001 20TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-6446
Mailing Address - Country:US
Mailing Address - Phone:701-852-0158
Mailing Address - Fax:
Practice Address - Street 1:309 27TH ST NW
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58703-2834
Practice Address - Country:US
Practice Address - Phone:701-852-7880
Practice Address - Fax:701-852-0597
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND740111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND23997OtherBLUE CROSS / BLUE SHIELD
ND12930Medicaid
ND606945200OtherFEDERAL WORKERS COMP
ND23997OtherBLUE CROSS / BLUE SHIELD
ND606945200OtherFEDERAL WORKERS COMP