Orthopedic Surgery Center

LBN: Joseph R. Petersen, M.D.
Orthopedic Surgery Center is an health care organization with primary practice located at 1344 Hiland Ave Ste A , Burley ID 83318-1564. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Joseph R. Petersen, M.D. can be contacted via phone (208) 678-1138, or through Petersen, Joseph R via phone (208) 678-1138.

Contact Information

Primary practice address
1344 Hiland Ave Ste A Burley ID 83318-1564
Phone: (208) 678-1138
Fax: (208) 678-5833
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Joseph R Doctor of Medicine (MD)
Phone: (208) 678-1138

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M5283 Idaho

Profile Details

NPI number 1790956514
LBN Legal business name Joseph R. Petersen, M.D.
DBA Doing business as Orthopedic Surgery Center
Authorized official Petersen, Joseph R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2008
Last updated Mar 19th, 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 1790956514 NPPES
Other 1225105604 NPI INDIV

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