King, Christine Marie

King, Christine Marie is an individual health care provider with primary practice located at 2001 E Royalton Rd , Broadview Hts OH 44147-2811. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. King, Christine Marie can be contacted via phone (440) 717-6100.

Contact Information

Primary practice address
2001 E Royalton Rd Broadview Hts OH 44147-2811
Fax: (440) 546-1382
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35052617 Ohio

Profile Details

NPI number 1821068560
LBN Legal business name King, Christine Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated May 9th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821068560 NPPES
Ohio Other 000000525094 ANTHEM
Ohio MEDICAID 2414122 ANTHEM
Ohio Other 25351 ANTHEM
Ohio Other F52617 ANTHEM

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