Christiansen, Timothy N
Christiansen, Timothy N is an individual health care provider with primary practice located at 1421 Premier Dr Mankato Clinic @ Wickersham Campus, Mankato MN 56001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Christiansen, Timothy N can be contacted via phone (507) 625-1811.Contact Information
Primary practice address
1421 Premier Dr Mankato Clinic @ Wickersham Campus
Mankato MN 56001
Phone: (507) 625-1811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 40897 | Minnesota |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 40897 | Minnesota |
Profile Details
| NPI number | 1982683900 |
|---|---|
| LBN Legal business name | Christiansen, Timothy N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Jul 10th, 2020 - about 4 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 | 1982683900 | NPPES |
| Minnesota | Other | 29B05CH | BCBS |
| Minnesota | Other | HP26577 | BCBS |
| Minnesota | Other | NA2951023820 | BCBS |
| Minnesota | Other | 040014402 | BCBS |
| Minnesota | Other | 41084933956001C131 | BCBS |
| Minnesota | MEDICAID | 0593095 | BCBS |
| Minnesota | Other | 122979 | BCBS |
| Minnesota | Other | 882297 | BCBS |
| Minnesota | Other | 1011816 | BCBS |
| Minnesota | MEDICAID | 153896900 | BCBS |
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