Provider Demographics
NPI:1710910757
Name:SANDPOINT WOMEN'S HEALTH, P.A.
Entity Type:Organization
Organization Name:SANDPOINT WOMEN'S HEALTH, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:W
Authorized Official - Last Name:HONSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:208-263-2173
Mailing Address - Street 1:420 N 2ND AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SANDPOINT
Mailing Address - State:ID
Mailing Address - Zip Code:83864-1552
Mailing Address - Country:US
Mailing Address - Phone:208-263-2173
Mailing Address - Fax:208-263-7441
Practice Address - Street 1:420 N 2ND AVE STE 200
Practice Address - Street 2:
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-1552
Practice Address - Country:US
Practice Address - Phone:208-263-2173
Practice Address - Fax:208-263-7441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID002621000Medicaid
ID8B131OtherBLUE CROSS
ID002620900Medicaid
ID000010006697OtherBLUE SHIELD
ID002621000Medicaid