Proctor, Christopher Alan

Proctor, Christopher Alan is an sole proprietor health care provider with primary practice located at 3454 Beale St , Bullhead City AZ 86442-8621. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Nursing Service Providers / Registered Nurse is his primary health care specialty. Proctor, Christopher Alan can be contacted via phone (928) 763-1120.

Contact Information

Primary practice address
3454 Beale St Bullhead City AZ 86442-8621
Phone: (928) 763-1120
Fax: (775) 227-0014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN087061 Arizona
Nursing Service Providers / Registered Nurse 163W00000X 281505 California
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X AP1617 Arizona

Profile Details

NPI number 1356447262
LBN Legal business name Proctor, Christopher Alan
Credentials CNS, CRNFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Jul 9th, 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 1356447262 NPPES
Arizona MEDICAID 537590

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