Christiansen, Gregory Alan
Christiansen, Gregory Alan is an individual health care provider with primary practice located at 6344 S 900 E , Salt Lake City UT 84121-2439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Christiansen, Gregory Alan can be contacted via phone (801) 892-8222.Contact Information
Primary practice address
6344 S 900 E
Salt Lake City UT 84121-2439
Phone: (801) 892-8222
Fax: (801) 904-3436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | LL15827 | Oregon |
Profile Details
| NPI number | 1831175629 |
|---|---|
| LBN Legal business name | Christiansen, Gregory Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Feb 25th, 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 | 1831175629 | NPPES |
| Oregon | MEDICAID | 028061 |
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