Petersen, Steve Alan
Petersen, Steve Alan is an individual health care provider with primary practice located at 5601 Loch Raven Blvd Smyth Bldg, Suite G-1, Baltimore MD 21239-2945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Petersen, Steve Alan can be contacted via phone (443) 444-4740.Contact Information
Primary practice address
5601 Loch Raven Blvd Smyth Bldg, Suite G-1
Baltimore MD 21239-2945
Phone: (443) 444-4740
Fax: (443) 444-4752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | D0065131 | Maryland |
Profile Details
| NPI number | 1205874385 |
|---|---|
| LBN Legal business name | Petersen, Steve Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jan 18th, 2017 - about 7 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 | 1205874385 | NPPES |
| Maryland | MEDICAID | 012124000 |
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