Anderson, Peter Jon

Anderson, Peter Jon is an individual health care provider with primary practice located at 801 5Th St , Sioux City IA 51101-1326. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Anderson, Peter Jon can be contacted via phone (712) 279-2010.

Contact Information

Primary practice address
801 5Th St Sioux City IA 51101-1326
Phone: (712) 279-2010
Fax: (712) 279-2034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01080422A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 39762 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD-41975 Iowa

Profile Details

NPI number 1114967858
LBN Legal business name Anderson, Peter Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jun 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114967858 NPPES
Kentucky MEDICAID 64108459

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