Petersilge, Nancy Lynn
Petersilge, Nancy Lynn is an sole proprietor health care provider with primary practice located at 1529 Arbor Ave , Los Altos CA 94024-5914. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Petersilge, Nancy Lynn can be contacted via phone (650) 941-0890.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G44365 | California |
Profile Details
| NPI number | 1467609396 |
|---|---|
| LBN Legal business name | Petersilge, Nancy Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2008 |
| Last updated | Aug 21st, 2008 - about 17 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 | 1467609396 | NPPES |
| California | Other | G44365 | CALIFORNIA DEPARTMENT CONSUMER AFFAIRS |
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