Bonnie Lynn Crist, DC
Individual provider Active NPI Chiropractor · Sidney, NY
NPI 1124170873 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124170873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- X0101421 (NY)
- Practice address
- 106 River St
Sidney, NY 13838 - Phone
- (607) 563-1389
- Fax
- (607) 563-9320
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X0101421 | NY | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X0101421 | NY | Yes |
Addresses
Primary practice location
106 River St
Sidney, NY 13838
Mailing address
106 River St
Sidney, NY 13838
Phone (607) 563-1389
Other providers in Sidney, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.