Peter, Alan P

Peter, Alan P is an individual health care provider with primary practice located at 16800 24 Mile Rd , Macomb MI 48042-2990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peter, Alan P can be contacted via phone (586) 992-9970.

Contact Information

Primary practice address
16800 24 Mile Rd Macomb MI 48042-2990
Phone: (586) 992-9970
Fax: (586) 992-9972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101014745 Michigan

Profile Details

NPI number 1922098193
LBN Legal business name Peter, Alan P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Dec 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922098193 NPPES
Michigan Other 0855010815 BCBS PIN
Michigan MEDICAID 114933018 BCBS PIN

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