Doctor Name: | CHRISTOPHER MARK PASSALACQUA |
NPI Number: | 1528089927 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C., L.C.P., DPHCS |
License Number: | 2301005374 |
Business Practice Address: | 5909 John R Rd Troy, MI - 480853867 |
Business Phone Number: | 2488795540 |
Business Fax Number: | 2488795502 |
Mailing Address: | 701 Indian Lake Rd, OXFORD |
State: | MI |
Postal Code: | 483716220 |
Phone Number: | 2488149499 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2301005374 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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. |