Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | KS001995 | MI |
N | 222Z00000X | Podiatrist | KS001995 | MI |
Y | 213EP1101X | Primary Podiatric Medicine | KS001995 | MI |
NPI | 1598765141 |
---|---|
Provider Name | Dr. Kristi Schons |
First Address | Lake Orion, MI 48360-1415 |
Second Address | West Bloomfield, MI 48322-3659 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2005 |
Last Update Date | 20/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13 4777245 | (05) | MI |
13 4782030 | (05) | MI |
137001 | PRIORITY HEALTH (01) | MI |
4429090 | (05) | MI |
480E01215 | BLUE CROSS/BLUE SHIELD MI (01) | MI |
P00284860 | MEDICARE RAILROAD (01) | MI |
P00303948 | MEDICARE RAILROAD (01) | MI |
U91370 | (02) | MI |