Christensen, James Tyler

Christensen, James Tyler is an individual health care provider with primary practice located at 3100 Channing Way , Idaho Falls ID 83404-1647. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Christensen, James Tyler can be contacted via phone (208) 535-4130.

Contact Information

Primary practice address
3100 Channing Way Idaho Falls ID 83404-1647
Phone: (208) 535-4130
Fax: (208) 535-4125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA402 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-402 Idaho

Profile Details

NPI number 1578540498
LBN Legal business name Christensen, James Tyler
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated May 28th, 2010 - 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 1578540498 NPPES
Idaho Other PASQ2 BLUE CROSS
Idaho MEDICAID 806420100 BLUE CROSS

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