Provider Demographics
NPI:1811959299
Name:CHRISTENSEN, ROBERT A (DC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:A
Last Name:CHRISTENSEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5020 BOB BILLINGS PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-9810
Mailing Address - Country:US
Mailing Address - Phone:785-331-4515
Mailing Address - Fax:
Practice Address - Street 1:5020 BOB BILLINGS PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-9810
Practice Address - Country:US
Practice Address - Phone:785-331-4515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS014841111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSU97394Medicare UPIN