Mostov, Perry D
Mostov, Perry D is an individual health care provider with primary practice located at 1344 Wintergreen Ln Ne , Bainbridge Island WA 98110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mostov, Perry D can be contacted via phone (206) 842-5632.Contact Information
Primary practice address
1344 Wintergreen Ln Ne
Bainbridge Island WA 98110
Phone: (206) 842-5632
Fax: (206) 842-5992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34004921 | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OP60744283 | Washington |
Profile Details
| NPI number | 1831152198 |
|---|---|
| LBN Legal business name | Mostov, Perry D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2006 |
| Last updated | Jun 18th, 2018 - about 6 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 | 1831152198 | NPPES |
| Ohio | MEDICAID | 0950734 |
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