James Tyler Christensen in Idaho Falls - Medical
James Tyler Christensen - NPI 1578540498
James Tyler Christensen is a Medical in Idaho Falls, Idaho. James Tyler Christensen practices all healthcare services and medical treatments related to Medical. The NPI Number for James Tyler Christensen is 1578540498. The last update date is 2010-05-28.
James Tyler Christensen's current location address is 2860 Channing Way Suite 115, Idaho Falls, Idaho. You can contact this provider via phone number 2085354130 and fax number 2085354125. The mailing address for James Tyler Christensen is 2860 Channing Way Suite 115, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Tyler Christensen |
|---|---|
| Address | 2860 Channing Way Suite 115, Idaho Falls, Idaho |
| Phone Number | 2085354130 |
| Fax Number | 2085354125 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1578540498 |
|---|---|
| Provider Enumeration Date | 2005-12-30 |
| Last Updated Date | 2010-05-28 |
Provider Mailing Address Detail
| Address | 2860 Channing Way Suite 115 |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834041647 |
| Phone Number | 2085354130 |
| Fax Number | 2085354125 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA402 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PASQ2 | ID | BLUE CROSS | |
| 806420100 | ID | -- |
Post Comment/ Review Below
What is the unique identifier code issued to James Tyler Christensen by the Centers for Medicare & Medicaid Services (CMS)?
The James Tyler Christensen has been assigned the NPI (National Provider Identifier) 1578540498. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where James Tyler Christensen's facilities are situated?
The facilities of James Tyler Christensen are physically located at the following address: 2860 Channing Way Suite 115, Idaho Falls, ID, 834041647.
What is James Tyler Christensen's specialized field of practice, and what is the corresponding taxonomy classification code?
The James Tyler Christensen's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did the James Tyler Christensen receive the assignment of its 1578540498 from the Centers for Medicare & Medicaid Services?
The James Tyler Christensen was issued its 1578540498 by the Centers for Medicare & Medicaid Services on 2005-12-30.
When was the information related to James Tyler Christensen most recently updated or refreshed?
The details pertaining to the James Tyler Christensen, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-05-28.
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