Bundgard, Peter Andrew

Bundgard, Peter Andrew is an sole proprietor health care provider with primary practice located at 100 Hospital Dr Walthall County General Hospital, Tylertown MS 39667-2022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bundgard, Peter Andrew can be contacted via phone (601) 876-2122.

Contact Information

Primary practice address
100 Hospital Dr Walthall County General Hospital Tylertown MS 39667-2022
Phone: (601) 876-2122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 15002 Mississippi

Profile Details

NPI number 1598784621
LBN Legal business name Bundgard, Peter Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Jul 8th, 2007 - about 18 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 1598784621 NPPES
Mississippi MEDICAID 0117315

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