Peters, James M

Peters, James M is an individual health care provider with primary practice located at 1700 W Stout St , Rice Lake WI 54868-5000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peters, James M can be contacted via phone (715) 236-8100.

Contact Information

Primary practice address
1700 W Stout St Rice Lake WI 54868-5000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41639 Wisconsin

Profile Details

NPI number 1477663524
LBN Legal business name Peters, James M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Sep 21st, 2009 - about 15 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 1477663524 NPPES
Wisconsin MEDICAID 43492200

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