Healthcare Provider Details

I. General information

NPI: 1063920254
Provider Name (Legal Business Name): CHRISTOPHER GRAHAM STINE D.C., M.S., D.A.C.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CHRISTOPHER GRAHAM STINE D.C., D.A.C.O.

II. Dates (important events)

Enumeration Date: 01/22/2018
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 REDWOOD DRIVE
FREDERICKSBURG VA
22408
US

IV. Provider business mailing address

117 REDWOOD DRIVE
FREDERICKSBURG VA
22408
US

V. Phone/Fax

Practice location:
  • Phone: 540-898-4100
  • Fax:
Mailing address:
  • Phone: 540-898-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number0104557470
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: