Provider Demographics
NPI:1992066385
Name:ANGELOPOULOS, CHRISTOPHER ARTHUR (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ARTHUR
Last Name:ANGELOPOULOS
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 1:1304 PARIS PIKE
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-9704
Mailing Address - Country:US
Mailing Address - Phone:502-735-0707
Mailing Address - Fax:502-316-6554
Practice Address - Street 1:1304 PARIS PIKE
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-9704
Practice Address - Country:US
Practice Address - Phone:502-735-0707
Practice Address - Fax:502-316-6554
Is Sole Proprietor?:No
Enumeration Date:2012-06-02
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32157111N00000X
KY277969111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY277969OtherKENTUCKY BOARD OF CHIROPRACTIC EXAMINERS
CA32157OtherSTATE BOARD