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Contact Information

CHRISTENSEN FOOT & ANKLE CLINIC
1777 E CLARK ST
SUITE 220
POCATELLO, ID83201-3357
 Phone: 208-235-1777
 Fax: 208-232-7518
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CHRISTENSEN FOOT ANKLE CLINIC · (Female)

NPI # 1598197857
Status Active
Credentials
Entity Individual
Enumeration date 08/08/2013
Last updated 08/08/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID License # P-166
  • ID Medicaid 806402300
  • Other P1985 BLUE CROSS OF IDAHO
  • Other 4792930001 MEDIARE DME
  • Other 1351091 MEDICARE PTAN
  • Other P00031188 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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