Christianson, Bethani
Christianson, Bethani is an individual health care provider with primary practice located at 2200 Fort Jesse Rd Ste 110 , Normal IL 61761-6286. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Christianson, Bethani can be contacted via phone (309) 661-6290.Contact Information
Primary practice address
2200 Fort Jesse Rd Ste 110
Normal IL 61761-6286
Phone: (309) 661-6290
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209014126 | Illinois |
Profile Details
| NPI number | 1003278581 |
|---|---|
| LBN Legal business name | Christianson, Bethani |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2016 |
| Last updated | Feb 8th, 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.
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