Carol E. Peterson, Md Plc

LBN: Carol E. Peterson, Md Plc
Carol E. Peterson, Md Plc is an health care organization with primary practice located at 6050 N Us Highway 31 , Free Soil MI 49411-9157. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Carol E. Peterson, Md Plc can be contacted via phone (231) 757-1260, or through Boerema, Heather Ryan via phone (231) 757-1260.

Contact Information

Primary practice address
6050 N Us Highway 31 Free Soil MI 49411-9157
Phone: (231) 757-1260
Fax: (231) 757-1261
Website:
Map and Directions
Authorized official contact:
Name: Boerema, Heather Ryan CPC
Phone: (231) 757-1260

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 4301050870 Michigan

Profile Details

NPI number 1053500413
LBN Legal business name Carol E. Peterson, Md Plc
DBA Doing business as
Authorized official Boerema, Heather Ryan CPC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2007
Last updated Feb 14th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053500413 NPPES
Michigan Other 0531035 BLUE CROSS BLUS SHIELD
Michigan MEDICAID 4831985 BLUE CROSS BLUS SHIELD

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