Petrin, James H

Petrin, James H is an individual health care provider with primary practice located at 8301 161St Ave Ne Ste 108 , Redmond WA 98052-3858. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Petrin, James H can be contacted via phone (425) 485-7985.

Contact Information

Primary practice address
8301 161St Ave Ne Ste 108 Redmond WA 98052-3858
Phone: (425) 485-7985
Fax: (425) 483-2375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X MD00035810 Washington
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD00035810 Washington

Profile Details

NPI number 1316948904
LBN Legal business name Petrin, James H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Sep 13th, 2023 - about 2 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 1316948904 NPPES
Washington Other 128869 DEPT OF L&I
Washington MEDICAID 7136443 DEPT OF L&I
Washington Other 53030 DEPT OF L&I
Washington MEDICAID 8228371 DEPT OF L&I
Washington MEDICAID 7095656 DEPT OF L&I

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