Siahpush, Sid H
Siahpush, Sid H is an individual health care provider with primary practice located at 12025 115Th Ave Ne, Building D, Ste 200 , Kirkland WA 98034-2831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Siahpush, Sid H can be contacted via phone (425) 821-1810.Contact Information
Primary practice address
12025 115Th Ave Ne, Building D, Ste 200
Kirkland WA 98034-2831
Phone: (425) 821-1810
Fax: (425) 823-1231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 53335-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 5465497134 | Illinois |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD60240047 | Washington |
Profile Details
| NPI number | 1104036631 |
|---|---|
| LBN Legal business name | Siahpush, Sid H |
| Credentials | MD, PHD. MPH, CGP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Dec 13th, 2019 - about 5 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 | 1104036631 | NPPES |
| Wisconsin | Other | 53335-20 | WISCONSIN STATE LICENSE |
| Wisconsin | Other | MD60240047 | WISCONSIN STATE LICENSE |
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