Petrilli, Brett John
Petrilli, Brett John is an individual health care provider with primary practice located at 11014 Se 192Nd St , Renton WA 98055-7432. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Petrilli, Brett John can be contacted via phone (253) 852-8640.Contact Information
Primary practice address
11014 Se 192Nd St
Renton WA 98055-7432
Phone: (253) 852-8640
Fax: (253) 854-2690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH0002201 | Washington |
Profile Details
| NPI number | 1114143237 |
|---|---|
| LBN Legal business name | Petrilli, Brett John |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jan 14th, 2015 - about 10 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 | 1114143237 | NPPES |
| Washington | Other | 911498710 | TAX ID# |
| Washington | Other | PE9824 | TAX ID# |
| Washington | Other | 43666 | TAX ID# |
| Washington | Other | G8912328 | TAX ID# |
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