Peterson, Alan C

Peterson, Alan C is an individual health care provider with primary practice located at 11600 W 2Nd Pl , Lakewood CO 80228-1527. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Peterson, Alan C can be contacted via phone (719) 537-0712.

Contact Information

Primary practice address
11600 W 2Nd Pl Lakewood CO 80228-1527
Phone: (719) 537-0712
Fax: (719) 537-6284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A100087 California
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 48051 Colorado
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A100087 California

Profile Details

NPI number 1265691653
LBN Legal business name Peterson, Alan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2008
Last updated Aug 6th, 2012 - about 12 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 1265691653 NPPES
Colorado MEDICAID 33989559

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