Provider Demographics
NPI:1104802057
Name:OUTTEN, CHRISTOPHER R (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:R
Last Name:OUTTEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:401 HIGH HOUSE RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-7200
Mailing Address - Country:US
Mailing Address - Phone:919-467-3362
Mailing Address - Fax:919-467-3233
Practice Address - Street 1:401 HIGH HOUSE RD
Practice Address - Street 2:SUITE 110
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-7200
Practice Address - Country:US
Practice Address - Phone:919-467-3362
Practice Address - Fax:919-467-3233
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2287111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8908642Medicaid
NC2449883Medicare PIN