Provider Demographics
NPI:1750513545
Name:DARIN L. CHRISTENSEN
Entity type:Organization
Organization Name:DARIN L. CHRISTENSEN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-949-0955
Mailing Address - Street 1:19 BRIAR KNOLL CT
Mailing Address - Street 2:SUITE 3
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-2635
Mailing Address - Country:US
Mailing Address - Phone:540-949-0955
Mailing Address - Fax:540-949-8377
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-13
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010469422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F84000Medicare UPIN
VAC10882Medicare PIN