Perll, Peter D.

Perll, Peter D. is an sole proprietor health care provider with primary practice located at 1603 Morgan St Ste 3 , Keokuk IA 52632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Perll, Peter D. can be contacted via phone (319) 524-4300.

Contact Information

Primary practice address
1603 Morgan St Ste 3 Keokuk IA 52632
Phone: (319) 524-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD-43740 Iowa
Allopathic & Osteopathic Physicians / Surgery 208600000X 036147636 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 108014 Missouri

Profile Details

NPI number 1790791820
LBN Legal business name Perll, Peter D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Jul 28th, 2020 - about 5 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 1790791820 NPPES
Missouri Other 431877619 BLUE CROS BLUE SHIELD
Missouri MEDICAID 207968819 BLUE CROS BLUE SHIELD
Missouri Other 205853807 BLUE CROS BLUE SHIELD

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