Organization
BOARD OF TRUSTEES OF WELBORN CLINIC
Active
Organization
BOARD OF TRUSTEES OF WELBORN CLINIC
Active
Other names
Welborn Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID D CHRISTESON M.D. (CEO)
(812) 426-6626
Entity
Organization
Contact information
Practice address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-6626
Mailing address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-6626
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
152W00000X
Optometrist
—
—
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208800000X
Urology Physician
—
—
213E00000X
Podiatrist
—
—
261Q00000X
Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100240870
—
IN
Enumeration date
08/03/2006
Last updated
02/05/2009
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