Odland, Peter Brierley
Odland, Peter Brierley is an individual health care provider with primary practice located at 1229 Madison St Suite 1480, Seattle WA 98104-3586. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Odland, Peter Brierley can be contacted via phone (206) 346-6647.Contact Information
Primary practice address
1229 Madison St Suite 1480
Seattle WA 98104-3586
Phone: (206) 346-6647
Fax: (206) 346-6022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | MD00026929 | Washington |
Profile Details
| NPI number | 1093896102 |
|---|---|
| LBN Legal business name | Odland, Peter Brierley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Feb 7th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093896102 | NPPES |
| Other | 8722OD | BLUE CROSS BLUE SHIELD | |
| Other | OD4638 | BLUE CROSS BLUE SHIELD |
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