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CHRISTENSEN FOOT & ANKLE CLINIC NPI 1598197857


NPI Information

NPI: 1598197857
Provider Name: CHRISTENSEN FOOT & ANKLE CLINIC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1777 E CLARK ST
SUITE 220
POCATELLO, ID
ZIP 83201
Phone: (208) 235-1777
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CHRISTENSEN FOOT & ANKLE CLINIC is a podiatrist in Pocatello, ID. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. CHRISTENSEN FOOT & ANKLE CLINIC NPI is 1598197857. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1777 E CLARK ST
SUITE 220
POCATELLO, ID
ZIP 83201-357
Phone: (208) 235-1777
Fax: (208) 232-7518

The provider's authorized official is Hui Min Christensen .
The authorized official title is Office Manager and has the following contact phone number (208) 235-1777.

The enumeration date for this NPI number is 8/8/2013 and was last updated on 8/8/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213EP1101XPodiatristPrimary Podiatric MedicineP-166IDAHONo
2213ER0200XPodiatristRadiologyP-166IDAHONo
3213ES0000XPodiatristSports MedicineP-166IDAHONo
4213ES0103XPodiatristFoot & Ankle SurgeryP-166IDAHONo
5213ES0131XPodiatristFoot SurgeryP-166IDAHONo
6213E00000XPodiatristP-166IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P1985OTHERBLUE CROSS OF IDAHO
21351091OTHERMEDICARE PTAN
3806402300MEDICAIDIDAHO
4P00031188OTHERRAILROAD MEDICARE
54792930001OTHERMEDIARE DME

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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