Provider Demographics
NPI:1588968846
Name:CHRISTIANSEN, ERIN ISELIN (DC)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:ISELIN
Last Name:CHRISTIANSEN
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 1:914 BUENA VIS APT B
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92672-8800
Mailing Address - Country:US
Mailing Address - Phone:949-292-8689
Mailing Address - Fax:
Practice Address - Street 1:903 CALLE AMANECER STE 230
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673-6251
Practice Address - Country:US
Practice Address - Phone:949-276-2956
Practice Address - Fax:949-276-2957
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-30
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31644111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor