Deforest, Peter

Deforest, Peter is an individual health care provider with primary practice located at 1906 Belleview Ave Se , Roanoke VA 24014-1838. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Deforest, Peter can be contacted via phone (540) 981-7000.

Contact Information

Primary practice address
1906 Belleview Ave Se Roanoke VA 24014-1838
Phone: (540) 981-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001-161021 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024-161021 Virginia

Profile Details

NPI number 1811953151
LBN Legal business name Deforest, Peter
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated May 6th, 2008 - about 16 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 1811953151 NPPES
Virginia MEDICAID 8934720
Virginia MEDICAID 8934495
Virginia MEDICAID 8934690
Virginia MEDICAID 8934711
Virginia MEDICAID 8934703

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