Provider Demographics
NPI:1811904766
Name:COLGIN, CHRISTOPHER MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MICHAEL
Last Name:COLGIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1098 FOSTER CITY BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:FOSTER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94404-2300
Mailing Address - Country:US
Mailing Address - Phone:650-212-1000
Mailing Address - Fax:650-212-1033
Practice Address - Street 1:1098 FOSTER CITY BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-2300
Practice Address - Country:US
Practice Address - Phone:650-212-1000
Practice Address - Fax:650-212-1033
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA26034111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor