Christensen, Wade K

Christensen, Wade K is an sole proprietor health care provider with primary practice located at 1880 John Adams Pkwy , Idaho Falls ID 83401-4315. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Christensen, Wade K can be contacted via phone (208) 524-6633.

Contact Information

Primary practice address
1880 John Adams Pkwy Idaho Falls ID 83401-4315
Phone: (208) 524-6633
Fax: (208) 524-9952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA268 Idaho

Profile Details

NPI number 1386626463
LBN Legal business name Christensen, Wade K
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated Jul 19th, 2010 - about 14 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 1386626463 NPPES
Idaho Other PALR9 BLUE CROSS PROVIDER NUMBE
Idaho Other 000010017817 BLUE CROSS PROVIDER NUMBE
Idaho MEDICAID 807937700 BLUE CROSS PROVIDER NUMBE
Idaho Other 000010027582 BLUE CROSS PROVIDER NUMBE
Idaho MEDICAID 807659300 BLUE CROSS PROVIDER NUMBE
Idaho Other 1134140148 BLUE CROSS PROVIDER NUMBE
Idaho Other 8K123 BLUE CROSS PROVIDER NUMBE
Idaho Other DE1614 BLUE CROSS PROVIDER NUMBE
Idaho MEDICAID 805622400 BLUE CROSS PROVIDER NUMBE
Idaho Other P00275624 BLUE CROSS PROVIDER NUMBE

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