Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 25576 | IA |
Y | 207PP0204X | Pediatric Emergency Physician | 25576 | IA |
NPI | 1639151509 |
---|---|
Provider Name | Carlyn M Christensen-Szalanski |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2005 |
Last Update Date | 25/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2291336 | (05) | IA |
34992 | WELLMARK BCBS (01) | IA |
D90031 | (02) |