Provider Demographics
NPI:1366530669
Name:MULLER, CHRIS JOHN
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:JOHN
Last Name:MULLER
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:CHRIS
Other - Middle Name:JOHN
Other - Last Name:MULLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:2835 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14227-1913
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2835 WILLIAM ST
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14227-1913
Practice Address - Country:US
Practice Address - Phone:716-894-2959
Practice Address - Fax:716-894-2951
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006671111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor