Provider Demographics
NPI:1063920254
Name:STINE, CHRISTOPHER GRAHAM (DC, MS, DACO)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:GRAHAM
Last Name:STINE
Suffix:
Gender:M
Credentials:DC, MS, DACO
Other - Prefix:DR
Other - First Name:CHRISTOPHER
Other - Middle Name:GRAHAM
Other - Last Name:STINE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:117 REDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-1945
Mailing Address - Country:US
Mailing Address - Phone:540-898-4100
Mailing Address - Fax:
Practice Address - Street 1:117 REDWOOD DR
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-1945
Practice Address - Country:US
Practice Address - Phone:540-898-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-22
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557470111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic