Doctor Name: | MR. CHRISTOPHER M. BILLINGSLEA |
NPI Number: | 1033117296 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | O-179 |
Business Practice Address: | 1220 E Polston Ave Post Falls, ID - 83854 |
Business Phone Number: | 2087731577 |
Business Fax Number: | 2087738585 |
Mailing Address: | 1220 E. Polston Ave, POST FALLS |
State: | ID |
Postal Code: | 83854 |
Phone Number: | 2087731577 |
Fax Number: | 2087738585 |
NPI Enumeration Date: | 07/12/2005 |
NPI Last Update Date: | 04/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | O-179 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |