Provider Demographics
NPI:1053537126
Name:ROSS, CHRISTOPHER M (DC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:M
Last Name:ROSS
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 1:2137 LOMBARD ST
Mailing Address - Street 2:SUITE #1
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-2712
Mailing Address - Country:US
Mailing Address - Phone:415-563-4424
Mailing Address - Fax:415-673-2184
Practice Address - Street 1:2137 LOMBARD ST
Practice Address - Street 2:SUITE #1
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-2712
Practice Address - Country:US
Practice Address - Phone:415-563-4424
Practice Address - Fax:415-673-2184
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18252111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor