Peterdy, Geraldine Anne

Peterdy, Geraldine Anne is an sole proprietor health care provider with primary practice located at 112 S Greenridge Dr , Liberty Lake WA 99019-9566. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is her primary health care specialty. Peterdy, Geraldine Anne can be contacted via phone (509) 255-1000.

Contact Information

Primary practice address
112 S Greenridge Dr Liberty Lake WA 99019-9566
Phone: (509) 255-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X MD00041937 Washington
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD00041937 Washington

Profile Details

NPI number 1104864792
LBN Legal business name Peterdy, Geraldine Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Nov 17th, 2014 - about 11 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 1104864792 NPPES
Washington MEDICAID 8331084
Washington Other AB 35581

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