Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 0101222253 | VA |
Y | 207RN0300X | Nephrologist | MD60202978 | WA |
NPI | 1023098860 |
---|---|
Provider Name | Dr. Constance B Christ |
First Address | Spokane, WA 99220-3649 |
Second Address | Spokane, WA 99202-1342 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 11/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010022797 | (05) | VA |
101799 | (05) | VA |
101799 | ANTHEM SVC HEALTHKEEPERS (01) | VA |
1023098860 | (05) | WA |
2115530 | MAMSI (01) | VA |
227154 | SOUTHERN HEALTH (01) | VA |
4044574 | CIGNA (01) | VA |
72648 | (05) | VA |
72648 | COMMUNITY HEALTH (01) | VA |
H41784 | (02) |