Johansen, Peter Burnett
Johansen, Peter Burnett is an individual health care provider with primary practice located at 100 Freeman Dr , Saint Peter MN 56082-3504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Johansen, Peter Burnett can be contacted via phone (507) 931-7100.Contact Information
Primary practice address
100 Freeman Dr
Saint Peter MN 56082-3504
Phone: (507) 931-7100
Fax: (507) 931-7220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 21413 | Minnesota |
Profile Details
| NPI number | 1205814514 |
|---|---|
| LBN Legal business name | Johansen, Peter Burnett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205814514 | NPPES |
| Minnesota | Other | 32F28JO | BC/BS MPIN |
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