Brettell, Patti Jo

Brettell, Patti Jo is an individual health care provider with primary practice located at 1400 E Kincaid St , Mount Vernon WA 98274-4127. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Brettell, Patti Jo can be contacted via phone (336) 042-8259.

Contact Information

Primary practice address
1400 E Kincaid St Mount Vernon WA 98274-4127
Phone: (336) 042-8259
Fax: (360) 428-2560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD00043392 Washington

Profile Details

NPI number 1215998125
LBN Legal business name Brettell, Patti Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Jun 8th, 2012 - about 13 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 1215998125 NPPES
Washington Other 0263653 LABOR & INDUSTRIES
Washington MEDICAID 1215998125 LABOR & INDUSTRIES

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