Peters, Gerald E

Peters, Gerald E is an individual health care provider with primary practice located at 2041 Ne Williamson Ct Ste B, Bend OR 97701-3925. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Peters, Gerald E can be contacted via phone (541) 323-7546.

Contact Information

Primary practice address
2041 Ne Williamson Ct Ste B Bend OR 97701-3925
Phone: (541) 323-7546
Fax: (541) 541-3234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD25927 Oregon
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD25927 Oregon

Profile Details

NPI number 1891703021
LBN Legal business name Peters, Gerald E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Apr 11th, 2016 - about 9 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 1891703021 NPPES
Oregon MEDICAID 269917
Oregon Other 00479104

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