Peruzzo, Peter A
Peruzzo, Peter A is an individual health care provider with primary practice located at 1620 E 12Th St , The Dalles OR 97058-3213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peruzzo, Peter A can be contacted via phone (541) 296-9151.Contact Information
Primary practice address
1620 E 12Th St
The Dalles OR 97058-3213
Phone: (541) 296-9151
Fax: (541) 296-9156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD08964 | Oregon |
Profile Details
| NPI number | 1225010853 |
|---|---|
| LBN Legal business name | Peruzzo, Peter A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Jun 27th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225010853 | NPPES |
| Oregon | MEDICAID | 238485 |
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