Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 036134265 | IL |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | ME96385 | FL |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | S8811 | TX |
NPI | 1366454316 |
---|---|
Provider Name | Franklyn C Christensen |
First Address | Urbana, IL 61801-2500 |
Second Address | Urbana, IL 61801-2500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 12/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000237600 | (05) | FL |
036134265 | (05) | IL |
H23293 | (02) |