Odland, Peter Brierley

Odland, Peter Brierley is an individual health care provider with primary practice located at 1229 Madison St Suite 1480, Seattle WA 98104-3586. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Odland, Peter Brierley can be contacted via phone (206) 346-6647.

Contact Information

Primary practice address
1229 Madison St Suite 1480 Seattle WA 98104-3586
Fax: (206) 346-6022
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD00026929 Washington

Profile Details

NPI number 1093896102
LBN Legal business name Odland, Peter Brierley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Feb 7th, 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 1093896102 NPPES
Other 8722OD BLUE CROSS BLUE SHIELD
Other OD4638 BLUE CROSS BLUE SHIELD

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