Provider Demographics
NPI:1891916375
Name:HALLIGAN, CHRISTOPHER J (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:HALLIGAN
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 1:365 FERRY ST
Mailing Address - Street 2:UNIT #5
Mailing Address - City:EVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:02149-5645
Mailing Address - Country:US
Mailing Address - Phone:617-387-1116
Mailing Address - Fax:617-387-1168
Practice Address - Street 1:365 FERRY ST
Practice Address - Street 2:UNIT #5
Practice Address - City:EVERETT
Practice Address - State:MA
Practice Address - Zip Code:02149-5645
Practice Address - Country:US
Practice Address - Phone:617-387-1116
Practice Address - Fax:617-387-1168
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1788111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36298OtherBLUE CROSS
MAY45198Medicare ID - Type Unspecified
MAY36298OtherBLUE CROSS