Provider Demographics
NPI:1376860916
Name:CHRISTENSEN, JEFFERY STEVEN (DO)
Entity Type:Individual
Prefix:DR
First Name:JEFFERY
Middle Name:STEVEN
Last Name:CHRISTENSEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 W 2ND ST STE 415
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-2467
Mailing Address - Country:US
Mailing Address - Phone:307-237-5848
Mailing Address - Fax:877-991-5063
Practice Address - Street 1:111 W 2ND ST STE 415
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2467
Practice Address - Country:US
Practice Address - Phone:307-237-5848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY9728A207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology