Christiansen, Brett David
Christiansen, Brett David is an individual health care provider with primary practice located at 1380 E Medical Center Dr , St George UT 84790-2123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Christiansen, Brett David can be contacted via phone (435) 251-1000.Contact Information
Primary practice address
1380 E Medical Center Dr
St George UT 84790-2123
Phone: (435) 251-1000
Fax: (435) 688-5514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | BC6737576 | Utah |
Profile Details
| NPI number | 1073500492 |
|---|---|
| LBN Legal business name | Christiansen, Brett David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1073500492 | NPPES |
| Arizona | MEDICAID | 772493 | |
| Arizona | MEDICAID | C0054 |
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