Christensen, Alan L

Christensen, Alan L is an sole proprietor health care provider with primary practice located at 3100 Tongass Ave , Ketchikan AK 99901-5746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Christensen, Alan L can be contacted via phone (907) 228-7688.

Contact Information

Primary practice address
3100 Tongass Ave Ketchikan AK 99901-5746
Phone: (907) 228-7688
Fax: (907) 228-8468
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 172326-1205 Utah
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 13746 Mississippi
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 41260 Kentucky

Profile Details

NPI number 1194720250
LBN Legal business name Christensen, Alan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Mar 4th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194720250 NPPES
Utah Other 73823 PEHP
Utah MEDICAID 7100018700 PEHP
Utah Other 806638800 PEHP
Utah Other 17232612000001 PEHP
Utah Other QM0000068942 PEHP

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