Provider Demographics
NPI:1972579472
Name:CHRISTENSEN, FRANK HOWARD (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:HOWARD
Last Name:CHRISTENSEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7920 ACC BLVD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-8743
Mailing Address - Country:US
Mailing Address - Phone:919-933-1294
Mailing Address - Fax:919-933-9153
Practice Address - Street 1:7920 ACC BLVD
Practice Address - Street 2:SUITE 320
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-8743
Practice Address - Country:US
Practice Address - Phone:919-933-1294
Practice Address - Fax:919-933-9153
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22096174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8922474Medicaid
NC202784EMedicare ID - Type Unspecified
NCC81483Medicare UPIN