Provider Demographics
NPI:1992719355
Name:FLAIM, CHRIS J (DC)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:J
Last Name:FLAIM
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 1:2411 57TH AVENUE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34207
Mailing Address - Country:US
Mailing Address - Phone:941-756-4362
Mailing Address - Fax:941-755-4652
Practice Address - Street 1:2411 57TH AVENUE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207
Practice Address - Country:US
Practice Address - Phone:941-756-4362
Practice Address - Fax:941-755-4652
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005265111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380370800Medicaid
FL21413Medicare ID - Type Unspecified
FL380370800Medicaid