Peterson, Andrea T

Peterson, Andrea T is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449-5777. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Peterson, Andrea T can be contacted via phone (715) 387-9447.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449-5777
Phone: (715) 387-9447
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 45374 Wisconsin

Profile Details

NPI number 1801904776
LBN Legal business name Peterson, Andrea T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Nov 17th, 2022 - about 2 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 1801904776 NPPES
Wisconsin MEDICAID 43507700

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