Provider Demographics
NPI:1538564844
Name:DRAKE, CHRISTOPHER LEE (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:LEE
Last Name:DRAKE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2046 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:NE
Mailing Address - Zip Code:69162-2302
Mailing Address - Country:US
Mailing Address - Phone:308-203-1145
Mailing Address - Fax:308-203-1218
Practice Address - Street 1:2046 10TH AVE
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NE
Practice Address - Zip Code:69162-2302
Practice Address - Country:US
Practice Address - Phone:308-203-1145
Practice Address - Fax:308-203-1214
Is Sole Proprietor?:No
Enumeration Date:2014-10-29
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1820111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor