Bong, Christine Janel Haywood
Bong, Christine Janel Haywood is an individual health care provider with primary practice located at 2960 N Circle Dr Ste 200 , Colorado Springs CO 80909-1163. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bong, Christine Janel Haywood can be contacted via phone (719) 634-8891.Contact Information
Primary practice address
2960 N Circle Dr Ste 200
Colorado Springs CO 80909-1163
Phone: (719) 634-8891
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 47375 | Colorado |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | LL28136 | South Carolina |
Profile Details
| NPI number | 1992827653 |
|---|---|
| LBN Legal business name | Bong, Christine Janel Haywood |
| Credentials | M.D., FAAP, M.P.H. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1992827653 | NPPES |
| Colorado | MEDICAID | 37336843 | |
| Colorado | Other | LL28136 | |
| Colorado | Other | CO306759 | |
| Colorado | Other | 47375 |
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