Healthcare Provider Details

I. General information

NPI: 1003921966
Provider Name (Legal Business Name): CHRISTOPHER T USINA DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 10/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1052 W SR 436 STE 1070 SUITE 1070
ALTAMONTE SPRINGS FL
32714-2939
US

IV. Provider business mailing address

1052 W SR 436 STE 1070 SUITE 1070
ALTAMONTE SPRINGS FL
32714-2939
US

V. Phone/Fax

Practice location:
  • Phone: 407-951-8921
  • Fax: 407-951-8926
Mailing address:
  • Phone: 407-951-8921
  • Fax: 407-951-8926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH 7224
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: