Provider Demographics
NPI:1316964927
Name:MCNEIL, CHRISTOPHER SEAN (DC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:SEAN
Last Name:MCNEIL
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 1:48866 HAYES RD
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-1954
Mailing Address - Country:US
Mailing Address - Phone:586-566-2273
Mailing Address - Fax:586-566-2272
Practice Address - Street 1:48866 HAYES RD
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-1954
Practice Address - Country:US
Practice Address - Phone:586-566-2273
Practice Address - Fax:586-566-2272
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008641111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIU93505Medicare UPIN
MIN89330001Medicare PIN