Individual
DR. KARIN MARIE LINDHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1450 AVIATION DR, SUITE 203, HAILEY, ID 83333-8785
(208) 727-8295
Mailing address
821 BUCKSKIN DR, HAILEY, ID 83333-8752
(208) 788-0908
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
O-159
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010000939
REGENCE BLUE SHIELD ID
ID
05
—
002457400
—
ID
01
—
130025239
RAILROAD MEDICARE ID
ID
01
—
353306900
OWCP ID
ID
01
—
S2426
BLUE CROSS ID
ID
Enumeration date
05/26/2006
Last updated
01/30/2013
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