Provider Demographics
NPI:1285180687
Name:SOLBERG, CHRISTINE (LM, CPM)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:SOLBERG
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N7088 BUFFALO LN
Mailing Address - Street 2:
Mailing Address - City:NESHKORO
Mailing Address - State:WI
Mailing Address - Zip Code:54960-8707
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:N7088 BUFFALO LN
Practice Address - Street 2:
Practice Address - City:NESHKORO
Practice Address - State:WI
Practice Address - Zip Code:54960-8707
Practice Address - Country:US
Practice Address - Phone:262-325-9369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI151-49176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife