MEDICARE: DR. CHRISTOPHER ARTHUR ANGELOPOULOS D.C.

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	32157	CA
2	111N00000X	Chiropractor	277969	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	277969	OTHER	KY	KENTUCKY BOARD OF CHIROPRACTIC EXAMINERS
2	32157	OTHER	CA	STATE BOARD

General Provider Information

NPI Number	:	1992066385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER ARTHUR ANGELOPOULOS D.C.

Provider Business Mailing Address
First Line	:	1304 PARIS PIKE
Second Line	:
City	:	GEORGETOWN
State	:	KY
Zip	:	40324-9704
Country	:	US
Telephone Number	:	502-735-0707
Fax Number	:	502-316-6554

Provider Business Practice Location Address
First Line	:	1304 PARIS PIKE
Second Line	:
City	:	GEORGETOWN
State	:	KY
Zip	:	40324-9704
Country	:	US
Telephone Number	:	502-735-0707
Fax Number	:	502-316-6554

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

Provider Enumeration Date	:	06/02/2012
Last Update Date	:	07/14/2023

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