Peters, Edward A

Peters, Edward A is an individual health care provider with primary practice located at 1002 N Us 27 , Saint Johns MI 48879-1129. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Peters, Edward A can be contacted via phone (989) 224-3937.

Contact Information

Primary practice address
1002 N Us 27 Saint Johns MI 48879-1129
Fax: (989) 224-4999
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003069 Michigan

Profile Details

NPI number 1740270388
LBN Legal business name Peters, Edward A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jul 8th, 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 1740270388 NPPES
Michigan MEDICAID 2937493

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