Provider Demographics
NPI:1336398155
Name:BERRY, CHRISTOPHER W (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:W
Last Name:BERRY
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:15550 ROCKFIELD BLVD
Mailing Address - Street 2:B220
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2720
Mailing Address - Country:US
Mailing Address - Phone:949-598-9999
Mailing Address - Fax:949-598-9990
Practice Address - Street 1:8501 BRIMHALL RD
Practice Address - Street 2:BLDG. 300
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2252
Practice Address - Country:US
Practice Address - Phone:661-410-9355
Practice Address - Fax:626-768-7417
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2010-08-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA31013111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC31013OtherCHIROPRACTIC LICENSE