Christiansen, Keith Alan

Christiansen, Keith Alan is an sole proprietor health care provider with primary practice located at 14-01 Broadway Ste 3 , Fair Lawn NJ 07410-2008. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Christiansen, Keith Alan can be contacted via phone (201) 855-8455.

Contact Information

Primary practice address
14-01 Broadway Ste 3 Fair Lawn NJ 07410-2008
Phone: (201) 855-8455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X 25MA08972100 New Jersey

Profile Details

NPI number 1679724694
LBN Legal business name Christiansen, Keith Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2008
Last updated May 15th, 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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