Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 61239 | WI |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 61239-20 | WI |
NPI | 1093072019 |
---|---|
Provider Name | James E Christensen |
First Address | Madison, WI 53713-2318 |
Second Address | Madison, WI 53713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2012 |
Last Update Date | 05/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1093072019 | (05) | WI |