Provider Demographics
NPI:1982640454
Name:ROMNEY, J CHRISTOPHER (DC, FACO)
Entity Type:Individual
Prefix:DR
First Name:J
Middle Name:CHRISTOPHER
Last Name:ROMNEY
Suffix:
Gender:M
Credentials:DC, FACO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 S SAINT JAMES PL
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-3696
Mailing Address - Country:US
Mailing Address - Phone:435-586-0067
Mailing Address - Fax:
Practice Address - Street 1:965 S MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-4383
Practice Address - Country:US
Practice Address - Phone:435-586-9904
Practice Address - Fax:435-586-9648
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT167627-1202111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
5671157OtherAETNA
67446OtherALTIUS
870445422OtherAMERICAN SPECIALTY
22779OtherPEHP
000382096OtherUNITED HEALTHCARE
4053502OtherCIGNA
62413OtherMAILHANDLERS
87039551R04OtherEDUCATORS MUTUAL
19193OtherDESERET MUTUAL BENEFITS
870445422OtherAMERICAN SPECIALTY