Wood, Peter Brodie

Wood, Peter Brodie is an individual health care provider with primary practice located at 615 Lilly Rd Ne Suite 100, Olympia WA 98506-5117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wood, Peter Brodie can be contacted via phone (360) 491-4211.

Contact Information

Primary practice address
615 Lilly Rd Ne Suite 100 Olympia WA 98506-5117
Fax: (360) 493-0407
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00029315 Washington

Profile Details

NPI number 1891864393
LBN Legal business name Wood, Peter Brodie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Sep 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891864393 NPPES
Washington MEDICAID 1087642

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