Provider Demographics
NPI:1023194008
Name:CYNTHIA LYNN CHRISTENSON
Entity Type:Organization
Organization Name:CYNTHIA LYNN CHRISTENSON
Other - Org Name:WHEELS IN MOTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CHRISTENSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:ATP
Authorized Official - Phone:989-624-7230
Mailing Address - Street 1:12055 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:BIRCH RUN
Mailing Address - State:MI
Mailing Address - Zip Code:48415-8758
Mailing Address - Country:US
Mailing Address - Phone:989-624-7230
Mailing Address - Fax:989-624-7231
Practice Address - Street 1:12055 CHURCH ST
Practice Address - Street 2:
Practice Address - City:BIRCH RUN
Practice Address - State:MI
Practice Address - Zip Code:48415-8758
Practice Address - Country:US
Practice Address - Phone:989-624-7230
Practice Address - Fax:989-624-7231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI540G302880332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI873279730Medicaid
MI1133800001Medicare NSC