Provider Demographics
NPI:1770661639
Name:ANDREWS, CHRIS E (DC)
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:E
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4140 MOTHER LODE DR
Mailing Address - Street 2:SUITE 116
Mailing Address - City:SHINGLE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:95682-8038
Mailing Address - Country:US
Mailing Address - Phone:530-677-5640
Mailing Address - Fax:530-677-6891
Practice Address - Street 1:4140 MOTHER LODE DR
Practice Address - Street 2:SUITE 116
Practice Address - City:SHINGLE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:95682-8038
Practice Address - Country:US
Practice Address - Phone:530-677-5640
Practice Address - Fax:530-677-6891
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor