Christiansen, Sidney George

Christiansen, Sidney George is an individual health care provider with primary practice located at 812 Keene St , Columbia MO 65201-6633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Christiansen, Sidney George can be contacted via phone (573) 817-3000.

Contact Information

Primary practice address
812 Keene St Columbia MO 65201-6633
Fax: (573) 876-6950
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X R8683 Missouri

Profile Details

NPI number 1942264551
LBN Legal business name Christiansen, Sidney George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jun 9th, 2011 - about 13 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 1942264551 NPPES
Missouri Other 156282 BLUE CHOICE
Missouri Other 156282 BLUE CHOICE
Missouri MEDICAID 201090024 BLUE CHOICE

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