Peterson, Patrick C

Peterson, Patrick C is an individual health care provider with primary practice located at 1326 N Stanford Ln , Liberty Lake WA 99019-5034. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Peterson, Patrick C can be contacted via phone (509) 838-2531.

Contact Information

Primary practice address
1326 N Stanford Ln Liberty Lake WA 99019-5034
Phone: (509) 838-2531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10003923 Washington

Profile Details

NPI number 1437260171
LBN Legal business name Peterson, Patrick C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 12th, 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 1437260171 NPPES
Washington Other 0212972 L&I
Washington MEDICAID 8427494 L&I

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