Macander, Peter J
Macander, Peter J is an individual health care provider with primary practice located at 703 E Marshall Ave Ste 5008 , Longview TX 75601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Macander, Peter J can be contacted via phone (903) 315-4880.Contact Information
Primary practice address
703 E Marshall Ave Ste 5008
Longview TX 75601
Phone: (903) 315-4880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 16804 | North Dakota |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 04-27251 | Kansas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 04-27251 | Kansas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | S0731 | Texas |
Profile Details
| NPI number | 1285613851 |
|---|---|
| LBN Legal business name | Macander, Peter J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Apr 15th, 2023 - about last year |
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 | 1285613851 | NPPES |
| Kansas | MEDICAID | 100301810D | |
| Kansas | Other | P02220467 | |
| Kansas | MEDICAID | 396191401 |
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