Christensen, Michael A
Christensen, Michael A is an individual health care provider with primary practice located at 1111 Crater Lake Ave , Medford OR 97504-6241. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Christensen, Michael A can be contacted via phone (541) 732-5250.Contact Information
Primary practice address
1111 Crater Lake Ave
Medford OR 97504-6241
Phone: (541) 732-5250
Fax: (541) 732-5251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 201250016NP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 201250016NP | Oregon |
Profile Details
| NPI number | 1871690693 |
|---|---|
| LBN Legal business name | Christensen, Michael A |
| Credentials | ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Sep 10th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871690693 | NPPES |
| Oregon | MEDICAID | 500646352 |
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