Petcoff, Susan M
Petcoff, Susan M is an individual health care provider with primary practice located at 220 W Mercer St Ste 110 , Seattle WA 98119-3954. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Petcoff, Susan M can be contacted via phone (206) 781-1830.Contact Information
Primary practice address
220 W Mercer St Ste 110
Seattle WA 98119-3954
Phone: (206) 781-1830
Fax: (206) 283-3640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | OP00001185 | Washington |
Profile Details
| NPI number | 1710910716 |
|---|---|
| LBN Legal business name | Petcoff, Susan M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710910716 | NPPES |
| Washington | MEDICAID | 1112689 |
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