Mandt, Peter R

Mandt, Peter R is an individual health care provider with primary practice located at 1231 116Th Ave Ne Suite 750, Bellevue WA 98004-3804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mandt, Peter R can be contacted via phone (425) 455-3600.

Contact Information

Primary practice address
1231 116Th Ave Ne Suite 750 Bellevue WA 98004-3804
Phone: (425) 455-3600
Fax: (425) 455-3920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00023819 Washington

Profile Details

NPI number 1730158148
LBN Legal business name Mandt, Peter R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated May 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730158148 NPPES
Washington Other 0182419 L & I
Washington Other G8899975 L & I
Washington Other P00284046 L & I
Washington Other G8861216 L & I

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