Peters, Jacqueline Ann
Peters, Jacqueline Ann is an individual health care provider with primary practice located at 1233 E 2Nd St , Casper WY 82601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Peters, Jacqueline Ann can be contacted via phone (307) 577-7201.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036103426 | Illinois |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 42785-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 11648A | Wyoming |
Profile Details
| NPI number | 1407913270 |
|---|---|
| LBN Legal business name | Peters, Jacqueline Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Aug 14th, 2018 - about 7 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 | 1407913270 | NPPES |
| Illinois | Other | 0161919966 | BLUE SHIELD |
| Illinois | MEDICAID | 036103426 1 | BLUE SHIELD |
| Illinois | Other | 050090673 | BLUE SHIELD |
| Illinois | Other | 131983700 | BLUE SHIELD |
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