MEDICARE: MR. CHRISTOPHER WHITE DC

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	CH7794	FL

General Provider Information

NPI Number	:	1699797621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER WHITE DC

Provider Business Mailing Address
First Line	:	501 VILLAGE BLVD
Second Line	:	SECOND FLOOR
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-1903
Country	:	US
Telephone Number	:	561-721-2565
Fax Number	:	561-721-2564

Provider Business Practice Location Address
First Line	:	501 VILLAGE BLVD
Second Line	:	SECOND FLOOR
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-1903
Country	:	US
Telephone Number	:	561-721-2565
Fax Number	:	561-721-2564

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	07/08/2007

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