Provider Demographics
NPI:1669495503
Name:CHRISTIANSEN, MARGARET A (AUD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:A
Last Name:CHRISTIANSEN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 E 52ND ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-2786
Mailing Address - Country:US
Mailing Address - Phone:563-355-7712
Mailing Address - Fax:563-359-1325
Practice Address - Street 1:2215 E 52ND ST
Practice Address - Street 2:SUITE 2
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-2786
Practice Address - Country:US
Practice Address - Phone:563-355-7712
Practice Address - Fax:563-359-1325
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0524231H00000X
IL147001031231H00000X
IA802237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA211537OtherIOWA HEALTH SOLUTIONS
IA05571OtherNATIONAL EAR CARE PLAN
IA0236760Medicaid
ILL92849Medicare ID - Type Unspecified
IAI4505Medicare ID - Type Unspecified