Peters, John Demi
Peters, John Demi is an individual health care provider with primary practice located at 3113 Saemann Ave , Sheboygan WI 53081-1957. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Peters, John Demi can be contacted via phone (920) 496-4700.Contact Information
Primary practice address
3113 Saemann Ave
Sheboygan WI 53081-1957
Phone: (920) 496-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 82520-20 | Wisconsin |
Profile Details
| NPI number | 1952838674 |
|---|---|
| LBN Legal business name | Peters, John Demi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2017 |
| Last updated | Jan 19th, 2024 - about last year |
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 | 1952838674 | NPPES |
| Wisconsin | MEDICAID | 100254103 |
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