Petzinger, George
Petzinger, George is an individual health care provider with primary practice located at 918 E Mead Ave , Yakima WA 98903-3720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Petzinger, George can be contacted via phone (509) 453-1344.Contact Information
Primary practice address
918 E Mead Ave
Yakima WA 98903-3720
Phone: (509) 453-1344
Fax: (509) 453-2209
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD00038547 | Washington |
Profile Details
NPI number | 1003905522 |
---|---|
LBN Legal business name | Petzinger, George |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 12th, 2006 |
Last updated | Nov 28th, 2011 - about 14 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 | 1003905522 | NPPES |
Washington | MEDICAID | 8254252 | |
Washington | Other | 139616 | |
Washington | Other | 911019392 | |
Washington | Other | 8254252 |
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