Provider Demographics
NPI:1033161468
Name:CHRISTENSEN ALLERGY ASSOCIATES
Entity Type:Organization
Organization Name:CHRISTENSEN ALLERGY ASSOCIATES
Other - Org Name:ALLERGY & ASTHMA ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE ASST.
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:JOINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-432-9544
Mailing Address - Street 1:1701 W CHARLESTON BLVD
Mailing Address - Street 2:#550
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2325
Mailing Address - Country:US
Mailing Address - Phone:702-432-9544
Mailing Address - Fax:702-432-8011
Practice Address - Street 1:4000 E CHARLESTON BLVD
Practice Address - Street 2:#100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-6659
Practice Address - Country:US
Practice Address - Phone:702-432-9544
Practice Address - Fax:702-432-8011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVWJBCQ02Medicare ID - Type UnspecifiedCHRISTENSEN
NVF66269Medicare UPIN
NVE41200Medicare UPIN
NVWJBCQ00Medicare ID - Type UnspecifiedGROUP NUMBER
NVWJBCQ01Medicare ID - Type UnspecifiedTOTTORI