MEDICARE: CHRISTOPHER PAUL DEMPSEY DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC011640	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DC011640	OTHER	PA	CHIROPRACTIC LICENSE

General Provider Information

NPI Number	:	1134701410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER PAUL DEMPSEY DC

Provider Business Mailing Address
First Line	:	674 WHITETAIL DR
Second Line	:
City	:	HUMMELSTOWN
State	:	PA
Zip	:	17036-7208
Country	:	US
Telephone Number	:	570-951-0329
Fax Number	:

Provider Business Practice Location Address
First Line	:	10401 S MASON RD UNIT A101
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-5913
Country	:	US
Telephone Number	:	800-404-6050
Fax Number	:	866-313-3397

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2021
Last Update Date	:	12/08/2023

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