Peters, Jeffrey D

Peters, Jeffrey D is an individual health care provider with primary practice located at 1710 Harper Rd , Beckley WV 25801-3357. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Peters, Jeffrey D can be contacted via phone (800) 277-8151.

Contact Information

Primary practice address
1710 Harper Rd Beckley WV 25801-3357
Phone: (800) 277-8151
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 52680 West Virginia

Profile Details

NPI number 1497740534
LBN Legal business name Peters, Jeffrey D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jan 10th, 2020 - about 4 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 1497740534 NPPES
West Virginia MEDICAID 2603260000

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