Peterson, Andrew Albert
Peterson, Andrew Albert is an individual health care provider with primary practice located at 190 E Bannock St , Boise ID 83712-6241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Peterson, Andrew Albert can be contacted via phone (208) 381-2094.Contact Information
Primary practice address
190 E Bannock St
Boise ID 83712-6241
Phone: (208) 381-2094
Fax: (208) 381-1791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | M-13255 | Idaho |
Profile Details
| NPI number | 1083842033 |
|---|---|
| LBN Legal business name | Peterson, Andrew Albert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2009 |
| Last updated | Jul 22nd, 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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