Petersen, Kirk
Petersen, Kirk is an individual health care provider with primary practice located at 22833 Bothell Everett Hwy Suite 205, Bothell WA 98021-9385. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Petersen, Kirk can be contacted via phone (425) 485-6540.Contact Information
Primary practice address
22833 Bothell Everett Hwy Suite 205
Bothell WA 98021-9385
Phone: (425) 485-6540
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5471 | Washington |
Profile Details
| NPI number | 1598980351 |
|---|---|
| LBN Legal business name | Petersen, Kirk |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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