Provider Demographics
NPI:1952456543
Name:STEVENS, CHRISTOPHE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHE
Middle Name:
Last Name:STEVENS
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 1:2805 FALLING LEAF CT
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-7724
Mailing Address - Country:US
Mailing Address - Phone:704-218-6353
Mailing Address - Fax:
Practice Address - Street 1:3046 SENNA DR
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-6726
Practice Address - Country:US
Practice Address - Phone:704-844-2823
Practice Address - Fax:704-844-2749
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3640111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor