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:
Health care specialties
| Specialty | Code | License # | 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 16 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 | 1912931635 | NPPES |
| Washington | MEDICAID | 8290751 |
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