Provider Demographics
NPI:1124128319
Name:BRETZ, CHRISTOPHER N (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:N
Last Name:BRETZ
Suffix:
Gender:M
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:PO BOX 50997
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-0308
Mailing Address - Country:US
Mailing Address - Phone:941-921-2225
Mailing Address - Fax:941-927-8234
Practice Address - Street 1:3436 BEE RIDGE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-7260
Practice Address - Country:US
Practice Address - Phone:941-921-2225
Practice Address - Fax:941-927-8234
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8996111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor