1841250370 NPI number — PAUL J CHRISTENSON MD

Table of content: PAUL J CHRISTENSON MD (NPI 1841250370)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841250370 NPI number — PAUL J CHRISTENSON MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHRISTENSON
Provider First Name:
PAUL
Provider Middle Name:
J
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

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 Information

NPI Number:
1841250370
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3901 RAINBOW BLVD
Provider Second Line Business Mailing Address:
MAIL STOP 3016
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66103-2937
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-588-6152
Provider Business Mailing Address Fax Number:
913-588-0603

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3901 RAINBOW BLVD
Provider Second Line Business Practice Location Address:
MAIL STOP 3016
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66103-2937
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-588-6152
Provider Business Practice Location Address Fax Number:
913-588-0603
Provider Enumeration Date:
03/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208800000X , with the licence number:  35078926C , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 35078926C . This is a "STATE MEDIAL LICENSE NUMB" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 200623690A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 50372 . This is a "COTLGEN NUMBER BARD" identifier . This identifiers is of the category "OTHER".
  • Identifier: H30788 . This is a "NATIONAL PROVIDER IDENTIF" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0433726 . This is a "MEDICAL LICENSE" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 305747 . This is a "AUA PERSONAL ID NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00779235 . This is a "RAIL ROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1841250370 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 483155 . This is a "FAMILY HEALTH PARTNERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2009010040 . This is a "MEDICAL LICENSE" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 43078011 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".




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