Provider Demographics
NPI:1285784843
Name:DOOLE, CHRISTINE (DC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:DOOLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 S ANDREWS AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-1840
Mailing Address - Country:US
Mailing Address - Phone:954-764-8911
Mailing Address - Fax:954-764-2150
Practice Address - Street 1:1400 S ANDREWS AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-1840
Practice Address - Country:US
Practice Address - Phone:954-764-8911
Practice Address - Fax:954-764-2150
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2541111N00000X
FLCH10610111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1601521Medicaid
MA7655381OtherCIGNA
FL22OUEOtherBCBS FL
MAY36863OtherBCBS MA
MA1601521Medicaid