Individual
CHRISTOPHER MICHAEL GUBBELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
257 E BOARDWALK DR, FORT COLLINS, CO 80525-5931
(970) 207-4046
(970) 207-4052
Mailing address
257 E BOARDWALK DR, FORT COLLINS, CO 80525-5931
(970) 207-4046
(970) 207-4052
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHR 6256
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COB4123
MEDICARE PTAN
CO
Enumeration date
07/17/2008
Last updated
08/26/2016
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