Petersen, C Gerard
Petersen, C Gerard is an individual health care provider with primary practice located at 1250 S Cedar Crest Blvd Suite 205, Allentown PA 18103-6224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Petersen, C Gerard can be contacted via phone (610) 439-8856.Contact Information
Primary practice address
1250 S Cedar Crest Blvd Suite 205
Allentown PA 18103-6224
Phone: (610) 439-8856
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD073487L | Pennsylvania |
Profile Details
| NPI number | 1285684183 |
|---|---|
| LBN Legal business name | Petersen, C Gerard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Mar 22nd, 2016 - about 9 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 | 1285684183 | NPPES |
| Pennsylvania | Other | 50059765 | CAPITAL BLUE CROSS |
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