Provider Demographics
NPI:1477608875
Name:DEWING, CHRISTOPHER BATEMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BATEMAN
Last Name:DEWING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1479
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83877-1479
Mailing Address - Country:US
Mailing Address - Phone:208-618-6070
Mailing Address - Fax:208-618-8903
Practice Address - Street 1:1610 E SCHNEIDMILLER AVE
Practice Address - Street 2:
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-7065
Practice Address - Country:US
Practice Address - Phone:208-618-6070
Practice Address - Fax:208-618-8903
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM-12753207X00000X, 207XX0005X, 207XX0005X
WAMD60535289207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2045353Medicaid
ID1093472748Medicaid