Bivans, Peter G

Bivans, Peter G is an individual health care provider with primary practice located at 4500 Memorial Dr , Belleville IL 62226-5360. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Bivans, Peter G can be contacted via phone (618) 257-6220.

Contact Information

Primary practice address
4500 Memorial Dr Belleville IL 62226-5360
Phone: (618) 257-6220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209.016955 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2019044283 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 850144 Nevada

Profile Details

NPI number 1548775257
LBN Legal business name Bivans, Peter G
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2017
Last updated Aug 25th, 2022 - about 4 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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