Christopherson, Diane
Christopherson, Diane is an sole proprietor health care provider with primary practice located at 1502 N. Coast Highway , Laguna Beach CA 92651-3103. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Orthopedic, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is her primary health care specialty. Christopherson, Diane can be contacted via phone (949) 497-3212.Contact Information
Primary practice address
1502 N. Coast Highway
Laguna Beach CA 92651-3103
Phone: (949) 497-3212
Fax: (949) 497-1564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | DC18358 | California |
| Chiropractic Providers / Chiropractor | 111N00000X | 18358 | California |
Profile Details
| NPI number | 1164453460 |
|---|---|
| LBN Legal business name | Christopherson, Diane |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jun 9th, 2015 - about 9 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 | 1164453460 | NPPES |
| California | Other | DC0183580 | BLUE SHIELD |
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