Healthcare Provider Details

I. General information

NPI: 1255348769
Provider Name (Legal Business Name): CHRISTOPHER HENDERSON N.D., L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 03/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3260 BEARD RD STE 3
NAPA CA
94558-3466
US

IV. Provider business mailing address

3260 BEARD RD STE 3
NAPA CA
94558-3466
US

V. Phone/Fax

Practice location:
  • Phone: 707-942-1250
  • Fax: 707-307-0684
Mailing address:
  • Phone: 707-942-1250
  • Fax: 707-307-0684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC6953
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND65
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: