Christenson, Douglas M
Christenson, Douglas M is an individual health care provider with primary practice located at 1850 Town Center Pkwy Resotn Hospital Center, Reston VA 20190-3219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Christenson, Douglas M can be contacted via phone (703) 471-0919.Contact Information
Primary practice address
1850 Town Center Pkwy Resotn Hospital Center
Reston VA 20190-3219
Phone: (703) 471-0919
Fax: (703) 742-9081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 0101057308 | Virginia |
Profile Details
| NPI number | 1770569097 |
|---|---|
| LBN Legal business name | Christenson, Douglas M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Dec 17th, 2015 - about 10 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 | 1770569097 | NPPES |
| Other | 173386 | ANTHEM | |
| MEDICAID | 005710260 | ANTHEM |
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