Lund, Peter

Lund, Peter is an individual health care provider with primary practice located at 1750 Thompson Rd , Coos Bay OR 97420-2100. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Lund, Peter can be contacted via phone (541) 269-0333.

Contact Information

Primary practice address
1750 Thompson Rd Coos Bay OR 97420-2100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD25489 Oregon

Profile Details

NPI number 1750496436
LBN Legal business name Lund, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750496436 NPPES
Oregon MEDICAID 006471

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