Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 0002363 | FL |
N | 207Q00000X | Family Doctor | 92135 | FL |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 92135 | FL |
NPI | 1801839139 |
---|---|
Provider Name | Dr. John Peter Christensen |
First Address | West Palm Beach, FL 33407-5133 |
Second Address | West Palm Beach, FL 33407-5133 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 15/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
89833Y | (02) | FL |
K9897A | (02) | FL |