Petzinger, George

Petzinger, George is an individual health care provider with primary practice located at 918 E Mead Ave , Yakima WA 98903-3720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Petzinger, George can be contacted via phone (509) 453-1344.

Contact Information

Primary practice address
918 E Mead Ave Yakima WA 98903-3720
Phone: (509) 453-1344
Fax: (509) 453-2209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD00038547 Washington

Profile Details

NPI number 1003905522
LBN Legal business name Petzinger, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Nov 28th, 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 1003905522 NPPES
Washington MEDICAID 8254252
Washington Other 139616
Washington Other 911019392
Washington Other 8254252

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