Healthcare Provider Details

I. General information

NPI: 1639447253
Provider Name (Legal Business Name): CHRISTOPHER OHSIE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2011
Last Update Date: 02/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12139 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH FL
32407-2609
US

IV. Provider business mailing address

12139 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH FL
32407-2609
US

V. Phone/Fax

Practice location:
  • Phone: 850-234-2242
  • Fax: 850-234-2262
Mailing address:
  • Phone: 850-234-2242
  • Fax: 850-234-2262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH10482
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: