Kishiyama, Christopher
Kishiyama, Christopher is an individual health care provider with primary practice located at 101 W 8Th Ave L1 Ste 100, Spokane WA 99204-2307. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Kishiyama, Christopher can be contacted via phone (509) 474-2880.Contact Information
Primary practice address
101 W 8Th Ave L1 Ste 100
Spokane WA 99204-2307
Phone: (509) 474-2880
Fax: (509) 474-2241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | TL-1284 | Colorado |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | MD00048081 | Washington |
Profile Details
| NPI number | 1477609147 |
|---|---|
| LBN Legal business name | Kishiyama, Christopher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jun 16th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477609147 | NPPES |
| Washington | MEDICAID | 8486797 | |
| Washington | Other | AB32999 |
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