Provider Demographics
NPI:1649278383
Name:ALEPA, CHRISTOPHER JAMES
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:ALEPA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 W BAY DR
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-1929
Mailing Address - Country:US
Mailing Address - Phone:727-518-2977
Mailing Address - Fax:727-518-0010
Practice Address - Street 1:2200 W BAY DR
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-1929
Practice Address - Country:US
Practice Address - Phone:727-518-2977
Practice Address - Fax:727-518-0010
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7815111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU86439Medicare UPIN
FL55988YMedicare ID - Type Unspecified