Provider Demographics
NPI:1083936041
Name:BROWN, CHRISTIAN (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:
Last Name:BROWN
Suffix:
Gender:
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:NHCP: 13 AREA SMART CLINIC
Mailing Address - Street 2:200 MERCY CIRCLE
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92055
Mailing Address - Country:US
Mailing Address - Phone:760-763-6616
Mailing Address - Fax:
Practice Address - Street 1:1214 LINE ST
Practice Address - Street 2:SUITE B
Practice Address - City:SUNBURY
Practice Address - State:PA
Practice Address - Zip Code:17801-1677
Practice Address - Country:US
Practice Address - Phone:570-991-6376
Practice Address - Fax:570-991-6377
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012072-1111N00000X
PA010482111N00000X
CA32464111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor