Provider Demographics
NPI:1487879193
Name:KUJAWSKI, CHRISTOPHER EUGENE (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:EUGENE
Last Name:KUJAWSKI
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 1:3436 E GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-1501
Mailing Address - Country:US
Mailing Address - Phone:602-980-0006
Mailing Address - Fax:
Practice Address - Street 1:7342 W INDIAN SCHOOL RD
Practice Address - Street 2:SUITE #114
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85033-3170
Practice Address - Country:US
Practice Address - Phone:623-846-0078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3891111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor