Provider Demographics
NPI:1295270049
Name:MULHALL, CHRISTOPHER D (DC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:D
Last Name:MULHALL
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 1:1364 INTERSTATE DR
Mailing Address - Street 2:STE 101
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-6187
Mailing Address - Country:US
Mailing Address - Phone:941-356-2572
Mailing Address - Fax:
Practice Address - Street 1:1260 GALLAHER RD
Practice Address - Street 2:STE C
Practice Address - City:KINGSTON
Practice Address - State:TN
Practice Address - Zip Code:37763-4139
Practice Address - Country:US
Practice Address - Phone:615-537-5520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-04
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3087111N00000X
FL12051111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor