Christiansen, Sidney George
Christiansen, Sidney George is an individual health care provider with primary practice located at 812 Keene St , Columbia MO 65201-6633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Christiansen, Sidney George can be contacted via phone (573) 817-3000.Contact Information
Primary practice address
812 Keene St
Columbia MO 65201-6633
Phone: (573) 817-3000
Fax: (573) 876-6950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | R8683 | Missouri |
Profile Details
| NPI number | 1942264551 |
|---|---|
| LBN Legal business name | Christiansen, Sidney George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Jun 9th, 2011 - about 15 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 | 1942264551 | NPPES |
| Missouri | Other | 156282 | BLUE CHOICE |
| Missouri | Other | 156282 | BLUE CHOICE |
| Missouri | MEDICAID | 201090024 | BLUE CHOICE |
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