Healthcare Provider Details

I. General information

NPI: 1326080763
Provider Name (Legal Business Name): CHRISTOPHER WILLIAM BALDT DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 06/19/2024
Certification Date: 06/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32783 LONG NECK RD UNIT 1
MILLSBORO DE
19966-6692
US

IV. Provider business mailing address

26447 JOHNSON RD
GEORGETOWN DE
19947-6644
US

V. Phone/Fax

Practice location:
  • Phone: 302-945-4575
  • Fax: 888-945-8260
Mailing address:
  • Phone: 302-945-4575
  • Fax: 888-945-8260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberXX0111741
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1071
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberF10000249
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: