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Contact Information

CHRISTOPHER R SUNDQUIST, PAC
6101 W HWY 54
SUITE A
ATHOL, ID83801
 Phone: 208-683-0800
 Fax: 208-683-0900
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHRISTOPHER R SUNDQUIST · (Male)

NPI # 1366510752
Status Active
Credentials PAC
Entity Individual
Enumeration date 12/01/2006
Last updated 08/22/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ID License # PA-303
  • ID Other PAD92 BLUE CROSS PIN
  • ID Other 000010158675 REGENCE PIN
Hospital affiliation(s) Not Available
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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