Pattillo, Michael J
Pattillo, Michael J is an individual health care provider with primary practice located at 945 Goethals Dr Ste 300 , Richland WA 99352-3552. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Pattillo, Michael J can be contacted via phone (509) 943-3196.Contact Information
Primary practice address
945 Goethals Dr Ste 300
Richland WA 99352-3552
Phone: (509) 943-3196
Fax: (509) 946-0455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00041086 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00041086 | Washington |
Profile Details
| NPI number | 1992798805 |
|---|---|
| LBN Legal business name | Pattillo, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | May 22nd, 2024 - about 6 months 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 | 1992798805 | NPPES |
| Washington | Other | 159331 | LABOR & INDUSTRY |
| Washington | MEDICAID | 8314833 | LABOR & INDUSTRY |
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