Individual
PETER J JENKIN
Active
Individual
PETER J JENKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25285
NH
207N00000X
Dermatology Physician
MD00037526
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039576
LABOR & INDUSTRY
WA
01
—
070016647
RAILROAD MEDICARE
—
01
—
3312JE
BLUE SHIELD
WA
05
—
8249948
—
WA
01
—
US7199048
AETNA/USHC SPECIALIST
WA
Enumeration date
07/14/2006
Last updated
09/17/2024
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