Peng, Marlene
Peng, Marlene is an individual health care provider with primary practice located at 515 Minor Ave 3Rd Floor, Seattle WA 98104-2120. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Allergy is her primary health care specialty. Peng, Marlene can be contacted via phone (206) 386-9500.Contact Information
Primary practice address
515 Minor Ave 3Rd Floor
Seattle WA 98104-2120
Phone: (206) 386-9500
Fax: (206) 576-3802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | MD60102678 | Washington |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 68453341205 | Utah |
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | 46653 | Wisconsin |
Profile Details
| NPI number | 1770697112 |
|---|---|
| LBN Legal business name | Peng, Marlene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jun 23rd, 2021 - about 5 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 | 1770697112 | NPPES |
| Washington | Other | 256768 | LNI |
| Washington | MEDICAID | 8560427 | LNI |
| Washington | Other | 0024PE | LNI |
| Washington | MEDICAID | 34622400 | LNI |
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