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Contact Information

JEDIDIAH SCHLUNG
INTEGRA IMAGING PS
801 S STEVENS STREET
SPOKANE, WA99204
 Phone: 509-747-4455
 Fax: 509-363-7064
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JEDIDIAH SCHLUNG · (Male)

NPI # 1386008548
Status Active
Credentials
Entity Individual
Enumeration date 04/13/2016
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MT License # MED-PHYS-LIC-104066
  • WA License # MD61242081
  • WI License # 74722-20
Hospital affiliation(s)
  • FORT HEALTHCARE - (Acute Care)
    611 SHERMAN AVE E
    FORT ATKINSON, WI 53538
  • UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY - (Acute Care)
    600 HIGHLAND AVENUE
    MADISON, WI 53792
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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