Edgehouse, Kristin
Edgehouse, Kristin is an individual health care provider with primary practice located at 101 W 8Th Ave Shmc 3 North, Spokane WA 99204-2307. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Edgehouse, Kristin can be contacted via phone (509) 474-7500.Contact Information
Primary practice address
101 W 8Th Ave Shmc 3 North
Spokane WA 99204-2307
Phone: (509) 474-7500
Fax: (509) 227-7070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OP60233214 | Washington |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | OP60233214 | Washington |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | OP60233214 | Washington |
Profile Details
| NPI number | 1922200286 |
|---|---|
| LBN Legal business name | Edgehouse, Kristin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2007 |
| Last updated | Jan 4th, 2024 - about 11 months 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 | 1922200286 | NPPES |
| Idaho | Other | 1922200286 | REGENCE BLUESHIELD |
| Idaho | MEDICAID | 1922200286 | REGENCE BLUESHIELD |
| Idaho | MEDICAID | 2014099 | REGENCE BLUESHIELD |
| Idaho | Other | S6646 | REGENCE BLUESHIELD |
| Idaho | Other | 028385 | REGENCE BLUESHIELD |
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