Streidl, John R

Streidl, John R is an individual health care provider with primary practice located at 11011 Meridian Ave N Suite 200, Seattle WA 98133-8967. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Streidl, John R can be contacted via phone (206) 525-5777.

Contact Information

Primary practice address
11011 Meridian Ave N Suite 200 Seattle WA 98133-8967
Phone: (206) 525-5777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD00039710 Washington
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X MD0039710 Washington

Profile Details

NPI number 1912931635
LBN Legal business name Streidl, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Mar 24th, 2008 - about 17 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 1912931635 NPPES
Washington MEDICAID 8290751

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