Healthcare Provider Details
I. General information
NPI: 1174616833
Provider Name (Legal Business Name): CHRISTOPHER E RASMUSSEN D. C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/02/2006
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2652 CHARLESTOWN RD
NEW ALBANY IN
47150-2538
US
IV. Provider business mailing address
2652 CHARLESTOWN RD
NEW ALBANY IN
47150-2538
US
V. Phone/Fax
- Phone: 812-945-5048
- Fax: 812-941-3110
- Phone: 812-949-2273
- Fax: 812-941-3110
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 08001104A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: