Christianson, Charlene Marie
Christianson, Charlene Marie is an sole proprietor health care provider with primary practice located at 4529 Portofino Dr , Longmont CO 80503-4153. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Christianson, Charlene Marie can be contacted via phone (303) 596-4113.Contact Information
Primary practice address
4529 Portofino Dr
Longmont CO 80503-4153
Phone: (303) 596-4113
Fax: (303) 651-6422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 12086516 | Colorado |
Profile Details
| NPI number | 1104984053 |
|---|---|
| LBN Legal business name | Christianson, Charlene Marie |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1104984053 | NPPES |
| Colorado | MEDICAID | 77951361 |
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