Provider Demographics
NPI:1801966445
Name:MILNE, CHRISTOPHER ROBIN
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ROBIN
Last Name:MILNE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3110 FOX HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-3626
Mailing Address - Country:US
Mailing Address - Phone:402-486-1289
Mailing Address - Fax:
Practice Address - Street 1:3110 FOX HOLLOW RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-3626
Practice Address - Country:US
Practice Address - Phone:402-486-1289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE273103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE08159OtherBLUECROSS
NE272583MIMedicare ID - Type Unspecified