Christianson, Jeffrey E

Christianson, Jeffrey E is an individual health care provider with primary practice located at 1837 Lafayette St , Janesville WI 53546-2860. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Christianson, Jeffrey E can be contacted via phone (608) 756-0728.

Contact Information

Primary practice address
1837 Lafayette St Janesville WI 53546-2860
Phone: (608) 756-0728
Fax: (608) 756-0782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2575-035 Wisconsin

Profile Details

NPI number 1750499240
LBN Legal business name Christianson, Jeffrey E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2006
Last updated Dec 21st, 2007 - about 18 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 1750499240 NPPES
Wisconsin MEDICAID 38605400
Wisconsin Other WI2575

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