Peters, Joseph W
Peters, Joseph W is an individual health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Peters, Joseph W can be contacted via phone (860) 444-4739.Contact Information
Primary practice address
365 Montauk Ave
New London CT 06320-4700
Phone: (860) 444-4739
Fax: (860) 442-0260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 032833 | Connecticut |
Profile Details
| NPI number | 1992746325 |
|---|---|
| LBN Legal business name | Peters, Joseph W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | May 12th, 2010 - about 14 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 | 1992746325 | NPPES |
| Connecticut | MEDICAID | 00132836 |
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