Provider Demographics
NPI:1285803866
Name:BAILEY, CHRISTOPHER STEWART (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:STEWART
Last Name:BAILEY
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 1:1635 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-2541
Mailing Address - Country:US
Mailing Address - Phone:801-224-8080
Mailing Address - Fax:
Practice Address - Street 1:1635 N STATE ST
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-2541
Practice Address - Country:US
Practice Address - Phone:801-224-8080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5271899-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor