Nolan, Peter S

Nolan, Peter S is an individual health care provider with primary practice located at 1230 E Main Street Mankato Clinic @ Main Street, Mankato MN 56002-8674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Nolan, Peter S can be contacted via phone (507) 625-1811.

Contact Information

Primary practice address
1230 E Main Street Mankato Clinic @ Main Street Mankato MN 56002-8674
Phone: (507) 625-1811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23067 Minnesota

Profile Details

NPI number 1366421356
LBN Legal business name Nolan, Peter S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1366421356 NPPES
Other 41084933956001C050 CHAMPUS
Other 41485NO CHAMPUS
Other 1202178 CHAMPUS
Other 895687 CHAMPUS
Other HP25857 CHAMPUS
MEDICAID 938241 CHAMPUS
Other 112538 CHAMPUS
Other NA2951023848 CHAMPUS

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