Church, Christopher J

Church, Christopher J is an individual health care provider with primary practice located at 200 State Ave , Faribault MN 55021-6339. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Church, Christopher J can be contacted via phone (507) 334-8333.

Contact Information

Primary practice address
200 State Ave Faribault MN 55021-6339
Phone: (507) 334-8333
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10213 Minnesota

Profile Details

NPI number 1417022690
LBN Legal business name Church, Christopher J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated May 4th, 2018 - about 8 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 1417022690 NPPES
Minnesota Other P00395174 RAILROAD MEDICARE
Minnesota MEDICAID 362495000 RAILROAD MEDICARE

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