Ketterer, Deborah Jean

Ketterer, Deborah Jean is an sole proprietor health care provider with primary practice located at 4361 Talbot Rd S Suite 101, Renton WA 98055-6226. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Ketterer, Deborah Jean can be contacted via phone (425) 271-1351.

Contact Information

Primary practice address
4361 Talbot Rd S Suite 101 Renton WA 98055-6226
Phone: (425) 271-1351
Fax: (425) 271-1368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO00000470 Washington

Profile Details

NPI number 1063584498
LBN Legal business name Ketterer, Deborah Jean
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063584498 NPPES
Washington MEDICAID 1106186

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