Christensen, Vern M

Christensen, Vern M is an individual health care provider with primary practice located at 1107 Earl Frye Blvd Suite 1, Amory MS 38821-5519. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Christensen, Vern M can be contacted via phone (662) 257-2357.

Contact Information

Primary practice address
1107 Earl Frye Blvd Suite 1 Amory MS 38821-5519
Fax: (662) 257-2399
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 80149 Mississippi

Profile Details

NPI number 1083674378
LBN Legal business name Christensen, Vern M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Dec 13th, 2018 - about 6 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 1083674378 NPPES
Michigan Other 480035262 RR GROUP PROVIDER #
Michigan MEDICAID 0119847 RR GROUP PROVIDER #

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