Provider Demographics
NPI:1720334980
Name:BEECH, CHRISTOPHER RICHARD (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:RICHARD
Last Name:BEECH
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 1:9330 E CENTRAL AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-2561
Mailing Address - Country:US
Mailing Address - Phone:316-685-9641
Mailing Address - Fax:316-685-0820
Practice Address - Street 1:9330 E CENTRAL AVE
Practice Address - Street 2:STE 300
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-2561
Practice Address - Country:US
Practice Address - Phone:316-685-9641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-25
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05497111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor