Peterkin, Nicholas D A

Peterkin, Nicholas D A is an individual health care provider with primary practice located at 832 A1A N Ste 6 , Ponte Vedra FL 32082-3216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peterkin, Nicholas D A can be contacted via phone (904) 834-3793.

Contact Information

Primary practice address
832 A1A N Ste 6 Ponte Vedra FL 32082-3216
Phone: (904) 834-3793
Fax: (904) 390-7435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME114121 Florida

Profile Details

NPI number 1912211905
LBN Legal business name Peterkin, Nicholas D A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2010
Last updated Jan 5th, 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 1912211905 NPPES
Florida Other P01346898 RAILROAD MEDICARE

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