King, Christopher M

King, Christopher M is an individual health care provider with primary practice located at 905 Hanshaw Road Suite A, Ithaca NY 14850-1871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. King, Christopher M can be contacted via phone (607) 273-6757.

Contact Information

Primary practice address
905 Hanshaw Road Suite A Ithaca NY 14850-1871
Fax: (607) 273-2854
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 42243 Kentucky
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 288616 New York

Profile Details

NPI number 1043474844
LBN Legal business name King, Christopher M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2008
Last updated Apr 17th, 2019 - about 5 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 1043474844 NPPES
Kentucky Other TP985 KY TEMP LICENSE
Kentucky Other 0228 KY TEMP LICENSE
Kentucky Other 42243 KY TEMP LICENSE

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