Peters, Carl Wade
Peters, Carl Wade is an sole proprietor health care provider with primary practice located at 2301 N 9Th Ave Suite 200, Pensacola FL 32503-3950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Peters, Carl Wade can be contacted via phone (850) 434-1313.Contact Information
Primary practice address
2301 N 9Th Ave Suite 200
Pensacola FL 32503-3950
Phone: (850) 434-1313
Fax: (850) 434-8803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME0050581 | Florida |
Profile Details
| NPI number | 1265456982 |
|---|---|
| LBN Legal business name | Peters, Carl Wade |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Feb 23rd, 2010 - about 14 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 | 1265456982 | NPPES |
| Florida | MEDICAID | 046385000 |
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