Provider Demographics
NPI:1760869259
Name:STEPHANIE CHRISTNER DO LLC
Entity Type:Organization
Organization Name:STEPHANIE CHRISTNER DO LLC
Other - Org Name:VERUM HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-630-1294
Mailing Address - Street 1:5014 E 101ST. ST
Mailing Address - Street 2:STE 200
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-7098
Mailing Address - Country:US
Mailing Address - Phone:918-701-3770
Mailing Address - Fax:918-701-3779
Practice Address - Street 1:5014 E 101ST. ST
Practice Address - Street 2:STE 200
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-7098
Practice Address - Country:US
Practice Address - Phone:918-701-3770
Practice Address - Fax:918-701-3779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
111N00000X, 133V00000X, 363L00000X
OK38462084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty