Provider Demographics
NPI:1699797621
Name:WHITE, CHRISTOPHER (DC)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:
Last Name:WHITE
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 1:501 VILLAGE BLVD
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-1903
Mailing Address - Country:US
Mailing Address - Phone:561-721-2565
Mailing Address - Fax:561-721-2564
Practice Address - Street 1:501 VILLAGE BLVD
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-1903
Practice Address - Country:US
Practice Address - Phone:561-721-2565
Practice Address - Fax:561-721-2564
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7794111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL76943ZMedicare ID - Type Unspecified
U99574Medicare UPIN