Peters, Noah J
Peters, Noah J is an individual health care provider with primary practice located at 715 W Central Ave , Missoula MT 59801-6808. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Peters, Noah J can be contacted via phone (406) 728-2840.Contact Information
Primary practice address
715 W Central Ave
Missoula MT 59801-6808
Phone: (406) 728-2840
Fax: (406) 728-3083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2249 | Montana |
Profile Details
| NPI number | 1710184775 |
|---|---|
| LBN Legal business name | Peters, Noah J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2007 |
| Last updated | Jan 13th, 2011 - 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 | 1710184775 | NPPES |
| Montana | Other | 5512754 | CHIP |
| Montana | Other | 41244 | CHIP |
| Montana | MEDICAID | 0113305 | CHIP |
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