Patulot, Connie C

Patulot, Connie C is an individual health care provider with primary practice located at 4033 Talbot Rd S Suite 200 , Renton WA 98055. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Patulot, Connie C can be contacted via phone (425) 271-5437.

Contact Information

Primary practice address
4033 Talbot Rd S Suite 200 Renton WA 98055
Fax: (425) 656-4212
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00019440 Washington

Profile Details

NPI number 1598728230
LBN Legal business name Patulot, Connie C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Feb 18th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598728230 NPPES
Washington MEDICAID 1958800
Washington Other A005

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