Christiansen, Colleen

Christiansen, Colleen is an sole proprietor health care provider with primary practice located at 3 Richland Medical Park Dr Ste 310 , Columbia SC 29203-6862. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Christiansen, Colleen can be contacted via phone (803) 434-8323.

Contact Information

Primary practice address
3 Richland Medical Park Dr Ste 310 Columbia SC 29203-6862
Phone: (803) 434-8323
Fax: (803) 434-8326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 004830 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3722 South Carolina

Profile Details

NPI number 1083880850
LBN Legal business name Christiansen, Colleen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2008
Last updated Jul 26th, 2021 - about 5 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 1083880850 NPPES
South Carolina MEDICAID PENDING

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