Provider Demographics
NPI:1386162097
Name:HOWARD, CHRISTOPHER BRYANT (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BRYANT
Last Name:HOWARD
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 1:1375 S LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-7907
Mailing Address - Country:US
Mailing Address - Phone:314-839-6520
Mailing Address - Fax:
Practice Address - Street 1:1375 S LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-7907
Practice Address - Country:US
Practice Address - Phone:314-839-6520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012016924111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor