Provider Demographics
NPI:1093930182
Name:CHRISTENSEN, BARBARA (DC)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 E PENN DR
Mailing Address - Street 2:
Mailing Address - City:ENOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17025-2158
Mailing Address - Country:US
Mailing Address - Phone:717-728-1990
Mailing Address - Fax:717-728-9930
Practice Address - Street 1:354 E PENN DR
Practice Address - Street 2:
Practice Address - City:ENOLA
Practice Address - State:PA
Practice Address - Zip Code:17025-2158
Practice Address - Country:US
Practice Address - Phone:717-728-1990
Practice Address - Fax:717-728-9930
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA06 278360111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA73-1694511OtherTAX ID
PAU88662Medicare UPIN
PA73-1694511OtherTAX ID