Blade, Kristie L
Blade, Kristie L is an individual health care provider with primary practice located at 19116 33Rd Ave W , Lynnwood WA 98036-4706. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Blade, Kristie L can be contacted via phone (425) 771-7500.Contact Information
Primary practice address
19116 33Rd Ave W
Lynnwood WA 98036-4706
Phone: (425) 771-7500
Fax: (425) 712-7903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00042594 | Washington |
Profile Details
| NPI number | 1033254842 |
|---|---|
| LBN Legal business name | Blade, Kristie L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Nov 25th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033254842 | NPPES |
| Washington | MEDICAID | 8396079 | |
| Washington | Other | P00389474 |
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