Petersen, Eric J

Petersen, Eric J is an individual health care provider with primary practice located at 205 E Toronto Ave , Mcallen TX 78503-1209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Petersen, Eric J can be contacted via phone (956) 687-6155.

Contact Information

Primary practice address
205 E Toronto Ave Mcallen TX 78503-1209
Phone: (956) 687-6155
Fax: (956) 618-0451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43275 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD 60036832 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7333423-1205 Utah
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X ML 20009169 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X N8336 Texas

Profile Details

NPI number 1184890543
LBN Legal business name Petersen, Eric J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2008
Last updated Jul 12th, 2016 - about 8 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 1184890543 NPPES
Texas Other N8336 MEDICAL LICENSE
Texas Other 7333423-1205 MEDICAL LICENSE
Texas Other MD 60036832 MEDICAL LICENSE
Texas Other 20009169 MEDICAL LICENSE

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