Provider Demographics
NPI:1174616833
Name:RASMUSSEN, CHRISTOPHER E (D C)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:E
Last Name:RASMUSSEN
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2652 CHARLESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-2538
Mailing Address - Country:US
Mailing Address - Phone:812-949-2273
Mailing Address - Fax:812-941-3110
Practice Address - Street 1:2652 CHARLESTOWN RD
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-2538
Practice Address - Country:US
Practice Address - Phone:812-945-5048
Practice Address - Fax:812-941-3110
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001104A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200040080AMedicaid
INU02648Medicare UPIN
IN200040080AMedicaid