Dewire, Peter

Dewire, Peter is an individual health care provider with primary practice located at 54 Miller St 4Th Floor, Quincy MA 02169-4725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dewire, Peter can be contacted via phone (617) 376-2017.

Contact Information

Primary practice address
54 Miller St 4Th Floor Quincy MA 02169-4725
Phone: (617) 376-2017
Fax: (617) 376-2043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 58417 Massachusetts

Profile Details

NPI number 1063400349
LBN Legal business name Dewire, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Sep 10th, 2015 - about 10 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 1063400349 NPPES
Massachusetts MEDICAID 3070174
Massachusetts Other 058417

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