Fine, Kurt Pettis
Fine, Kurt Pettis is an sole proprietor health care provider with primary practice located at 212 E Central Ave Ste 340 , Spokane WA 99208-6289. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Fine, Kurt Pettis can be contacted via phone (509) 484-1236.Contact Information
Primary practice address
212 E Central Ave Ste 340
Spokane WA 99208-6289
Phone: (509) 484-1236
Fax: (509) 484-2012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 37568 | Washington |
Profile Details
| NPI number | 1821104399 |
|---|---|
| LBN Legal business name | Fine, Kurt Pettis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Jul 17th, 2012 - about 12 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 | 1821104399 | NPPES |
| Washington | MEDICAID | 1107697 |
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