Doctor Name: | BERNADETTE HRISTAKOPOULOS |
NPI Number: | 1497987135 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C |
License Number: | CH9757 |
Business Practice Address: | 912 S Ridgewood Ave Suite D Daytona Beach, FL - 321145349 |
Business Phone Number: | 3862563520 |
Business Fax Number: | 3862563516 |
Mailing Address: | 912 S Ridgewood Ave, Suite D DAYTONA BEACH |
State: | FL |
Postal Code: | 321145349 |
Phone Number: | 3862563520 |
Fax Number: | 3862563516 |
NPI Enumeration Date: | 08/13/2009 |
NPI Last Update Date: | 09/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH9757 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |