Petersen, Mario Cesar
Petersen, Mario Cesar is an individual health care provider with primary practice located at 901 E 18Th Ave , Eugene OR 97403-1354. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. Petersen, Mario Cesar can be contacted via phone (541) 346-3575.Contact Information
Primary practice address
901 E 18Th Ave
Eugene OR 97403-1354
Phone: (541) 346-3575
Fax: (541) 346-5844
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD26196 | Oregon |
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 4301116723 | Michigan |
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | MD26196 | Oregon |
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | 4301116723 | Michigan |
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | MD26196 | Oregon |
Profile Details
NPI number | 1760490239 |
---|---|
LBN Legal business name | Petersen, Mario Cesar |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 3rd, 2006 |
Last updated | Aug 30th, 2023 - about last year |
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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