Paul, Peter R

Paul, Peter R is an individual health care provider with primary practice located at 2200 Green Rd Suite B, Ann Arbor MI 48105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Paul, Peter R can be contacted via phone (734) 994-7446.

Contact Information

Primary practice address
2200 Green Rd Suite B Ann Arbor MI 48105
Fax: (734) 623-8590
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301063025 Michigan

Profile Details

NPI number 1407853617
LBN Legal business name Paul, Peter R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jun 14th, 2021 - about 3 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 1407853617 NPPES
Michigan MEDICAID 4302476

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