Peters, Douglas W

Peters, Douglas W is an individual health care provider with primary practice located at 1201 W Agency Rd , West Burlington IA 52655-1645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peters, Douglas W can be contacted via phone (319) 754-4242.

Contact Information

Primary practice address
1201 W Agency Rd West Burlington IA 52655-1645
Phone: (319) 754-4242
Fax: (319) 754-4079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32579 Iowa

Profile Details

NPI number 1528134343
LBN Legal business name Peters, Douglas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2006
Last updated Oct 23rd, 2007 - about 17 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 1528134343 NPPES
Iowa MEDICAID 2154286

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