Peters, Stephen Robert

Peters, Stephen Robert is an individual health care provider with primary practice located at 2 Medical Plaza Dr Suite #175, Roseville CA 95661-3043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Peters, Stephen Robert can be contacted via phone (916) 782-2146.

Contact Information

Primary practice address
2 Medical Plaza Dr Suite #175 Roseville CA 95661-3043
Phone: (916) 782-2146
Fax: (916) 782-4299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G83285 California

Profile Details

NPI number 1679545388
LBN Legal business name Peters, Stephen Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Mar 2nd, 2014 - about 10 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 1679545388 NPPES
California Other ZZZ069702 BLUE SHIELD
California MEDICAID GROO94900 BLUE SHIELD

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