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NPI Code Detail

MEDICARE: DR. RICHARD CULL CHRISTENSEN MD

MEDICARE: DR. RICHARD CULL CHRISTENSEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianME62682FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2260042608OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114987666
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD CULL CHRISTENSEN MD
Provider Business Mailing Address
First Line : 611 E ADAMS ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32202-2847
Country : US
Telephone Number : 904-394-8068
Fax Number : 904-353-7345
Provider Business Practice Location Address
First Line : 611 E ADAMS ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32202-2847
Country : US
Telephone Number : 904-394-8068
Fax Number : 904-353-7345
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 02/24/2012

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