Christensen, Brian Todd

Christensen, Brian Todd is an individual health care provider with primary practice located at 1360 E Herndon Ave Ste 401 , Fresno CA 93720-3326. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Christensen, Brian Todd can be contacted via phone (559) 449-5010.

Contact Information

Primary practice address
1360 E Herndon Ave Ste 401 Fresno CA 93720-3326
Fax: (559) 449-5014
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9973T California

Profile Details

NPI number 1912968819
LBN Legal business name Christensen, Brian Todd
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Oct 19th, 2020 - about 4 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 1912968819 NPPES
California MEDICAID GSD004052
California MEDICAID SD0099730
California MEDICAID GSD004053
California MEDICAID GSD004054
California MEDICAID GSD004050
California MEDICAID GSD004051

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