Provider Demographics
NPI:1437216686
Name:CHRISTENSEN, JULIE A (MS)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:A
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 N 30TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2136
Mailing Address - Country:US
Mailing Address - Phone:402-280-8100
Mailing Address - Fax:402-280-8103
Practice Address - Street 1:555 N 30TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2136
Practice Address - Country:US
Practice Address - Phone:402-498-6540
Practice Address - Fax:402-498-6387
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE196231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0585703Medicaid
IA9585695Medicaid
NE06621OtherBCBS BT
IA1585703Medicaid
IA5585695Medicaid
IA8585695Medicaid
IA0585695Medicaid
IA2585695Medicaid
IA2585703Medicaid
NE06626OtherBCBS ENT
IA6585695Medicaid
IA7585695Medicaid
IA1585695Medicaid
IA4585695Medicaid
IA3585703Medicaid
IA4585695Medicaid
IA1585703Medicaid
IA3585703Medicaid