Peters, Brandon Robert

Peters, Brandon Robert is an individual health care provider with primary practice located at 1105 6Th St , Traverse City MI 49684-2349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Peters, Brandon Robert can be contacted via phone (231) 947-0673.

Contact Information

Primary practice address
1105 6Th St Traverse City MI 49684-2349
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101015943 Michigan

Profile Details

NPI number 1285677179
LBN Legal business name Peters, Brandon Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 27th, 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 1285677179 NPPES
Michigan Other 5101015943 PHYSICIAN LICENSE

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