Healthcare Provider Details

I. General information

NPI: 1316992324
Provider Name (Legal Business Name): CHRISTOPHER ERIC CYRUL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

Provider Other Name: CHRIS FAMILY CHIROPRACTIC

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 SIGNAL MOUNTAIN RD
CHATTANOOGA TN
37405-1823
US

IV. Provider business mailing address

707 SIGNAL MOUNTAIN RD
CHATTANOOGA TN
37405-1823
US

V. Phone/Fax

Practice location:
  • Phone: 423-266-0900
  • Fax: 423-266-0902
Mailing address:
  • Phone: 423-266-0900
  • Fax: 423-266-0902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1401
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: