Provider Demographics
NPI:1720150899
Name:HALL, CHRISTOPHER MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MICHAEL
Last Name:HALL
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 1:14030 NE 24TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-3731
Mailing Address - Country:US
Mailing Address - Phone:425-414-5858
Mailing Address - Fax:425-323-7032
Practice Address - Street 1:14030 NE 24TH ST STE 201
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-3731
Practice Address - Country:US
Practice Address - Phone:425-414-5858
Practice Address - Fax:425-323-7032
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00033753111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB12222Medicare ID - Type Unspecified