Provider Demographics
NPI:1922093772
Name:CHRISTENSEN, DARIN LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:DARIN
Middle Name:LEE
Last Name:CHRISTENSEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4127
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24015-0127
Mailing Address - Country:US
Mailing Address - Phone:540-981-9394
Mailing Address - Fax:540-344-7154
Practice Address - Street 1:19 BRIAR KNOLL CT
Practice Address - Street 2:SUITE 3
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2635
Practice Address - Country:US
Practice Address - Phone:540-949-0955
Practice Address - Fax:540-949-8377
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-19
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010469422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA017222A62Medicare PIN
NVMD7137Medicare ID - Type Unspecified
VAC03262Medicare PIN