Christensen, Jerry Ray
Christensen, Jerry Ray is an individual health care provider with primary practice located at 200 Hawkins Drive , Iowa City IA 52242-1082. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Christensen, Jerry Ray can be contacted via phone (319) 354-6479.Contact Information
Primary practice address
200 Hawkins Drive
Iowa City IA 52242-1082
Phone: (319) 354-6479
Fax: (319) 354-6291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 00473 | Iowa |
Profile Details
| NPI number | 1225024870 |
|---|---|
| LBN Legal business name | Christensen, Jerry Ray |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225024870 | NPPES |
| Iowa | Other | 33721 | WELLMARK BCBS |
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