Peters, Paul Leon

Peters, Paul Leon is an individual health care provider with primary practice located at 419 S Washington St Ste 101, Casper WY 82601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Peters, Paul Leon can be contacted via phone (307) 265-1620.

Contact Information

Primary practice address
419 S Washington St Ste 101 Casper WY 82601
Phone: (307) 265-1620
Fax: (307) 237-1074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4089A Wyoming

Profile Details

NPI number 1225097207
LBN Legal business name Peters, Paul Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Sep 23rd, 2011 - about 13 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 1225097207 NPPES
Wyoming MEDICAID 10341700
Wyoming Other 360003250

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