Individual
CHRISTIAN ROBERTS BEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP, BOCO
Contact information
Practice address
1103 N ELM ST STE 201, GREENSBORO, NC 27401
(336) 478-9400
(336) 478-9404
Mailing address
2534 EMPIRE DR, WINSTON SALEM, NC 27103-6710
(336) 397-2165
(336) 397-2167
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
C51530
—
224P00000X
Prosthetist
Primary
CP03333
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C51530
THE BOARD OF CERTIFICATION / ACCREDITATION, INTERNATIONAL
—
01
—
CP03333
AMERICAN BOARD OF CERTIFICATION
—
01
—
PO000074
STATE LICENSE
PA
Enumeration date
05/30/2017
Last updated
08/01/2018
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