Christensen, Brent James

Christensen, Brent James is an individual health care provider with primary practice located at 324 10Th Ave , Salt Lake City UT 84103-2865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Christensen, Brent James can be contacted via phone (801) 408-7660.

Contact Information

Primary practice address
324 10Th Ave Salt Lake City UT 84103-2865
Phone: (801) 408-7660
Fax: (801) 408-7650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 1808151205 Utah

Profile Details

NPI number 1275570293
LBN Legal business name Christensen, Brent James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jun 26th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275570293 NPPES
Utah MEDICAID 942854057029

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