1437216686 NPI number — MS. JULIE A CHRISTENSEN MS

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437216686 NPI number — MS. JULIE A CHRISTENSEN MS

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

CHRISTENSEN

Provider First Name:

JULIE

Provider Middle Name:

A

Provider Name Prefix Text:

MS.

Provider Name Suffix Text:

Provider Credential Text:

MS

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1437216686

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

11/22/2010

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

555 N 30TH ST

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

OMAHA

Provider Business Mailing Address State Name:

NE

Provider Business Mailing Address Postal Code:

68131-2136

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

402-280-8100

Provider Business Mailing Address Fax Number:

402-280-8103

Provider First Line Business Practice Location Address:

555 N 30TH ST

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

OMAHA

Provider Business Practice Location Address State Name:

NE

Provider Business Practice Location Address Postal Code:

68131-2136

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

402-498-6540

Provider Business Practice Location Address Fax Number:

402-498-6387

Provider Enumeration Date:

01/03/2007

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 231H00000X , with the licence number:  196 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 0585703 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 9585695 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 06621 . This is a "BCBS BT" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
• Identifier: 1585703 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 5585695 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 8585695 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 0585695 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 2585695 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 2585703 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 06626 . This is a "BCBS ENT" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
• Identifier: 6585695 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 7585695 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 1585695 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 4585695 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 3585703 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".