Christiansen, Colleen
Christiansen, Colleen is an sole proprietor health care provider with primary practice located at 3 Richland Medical Park Dr Ste 310 , Columbia SC 29203-6862. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Christiansen, Colleen can be contacted via phone (803) 434-8323.Contact Information
Primary practice address
3 Richland Medical Park Dr Ste 310
Columbia SC 29203-6862
Phone: (803) 434-8323
Fax: (803) 434-8326
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 004830 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3722 | South Carolina |
Profile Details
NPI number | 1083880850 |
---|---|
LBN Legal business name | Christiansen, Colleen |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 1st, 2008 |
Last updated | Jul 26th, 2021 - about 3 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 | 1083880850 | NPPES |
South Carolina | MEDICAID | PENDING |
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