Peterie, Jerry D
Peterie, Jerry D is an individual health care provider with primary practice located at 310 S Hillside St , Wichita KS 67211-2129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Peterie, Jerry D can be contacted via phone (316) 264-3505.Contact Information
Primary practice address
310 S Hillside St
Wichita KS 67211-2129
Phone: (316) 264-3505
Fax: (316) 264-0908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 0416578 | Kansas |
Profile Details
| NPI number | 1023014305 |
|---|---|
| LBN Legal business name | Peterie, Jerry D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Aug 3rd, 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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