MEDICARE: DR. CHRISTOPHER MAX ORRIS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2016015116	MO

General Provider Information

NPI Number	:	1174062111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER MAX ORRIS D.C.

Provider Business Mailing Address
First Line	:	409 W OSAGE ST
Second Line	:
City	:	PACIFIC
State	:	MO
Zip	:	63069-1332
Country	:	US
Telephone Number	:	636-271-2960
Fax Number	:

Provider Business Practice Location Address
First Line	:	409 W OSAGE ST
Second Line	:
City	:	PACIFIC
State	:	MO
Zip	:	63069-1332
Country	:	US
Telephone Number	:	636-549-9004
Fax Number	:	636-549-9008

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2017
Last Update Date	:	02/18/2021

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