Peterson, Andrew Craig
Peterson, Andrew Craig is an individual health care provider with primary practice located at 202 10Th Street Se , Cedar Rapids IA 52403-2404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Peterson, Andrew Craig can be contacted via phone (319) 398-1721.Contact Information
Primary practice address
202 10Th Street Se
Cedar Rapids IA 52403-2404
Phone: (319) 398-1721
Fax: (319) 399-2016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 28341 | Iowa |
Profile Details
| NPI number | 1568460061 |
|---|---|
| LBN Legal business name | Peterson, Andrew Craig |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Oct 23rd, 2020 - about 6 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 | 1568460061 | NPPES |
| Iowa | Other | 56483 | BLUE CROSS/BLUE SHIELD |
| Iowa | MEDICAID | 3075358 | BLUE CROSS/BLUE SHIELD |
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