Peterson, Andrew J.

Peterson, Andrew J. is an individual health care provider with primary practice located at 147 Reynoir Street Suite 101, Biloxi MS 39530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Peterson, Andrew J. can be contacted via phone (228) 374-2051.

Contact Information

Primary practice address
147 Reynoir Street Suite 101 Biloxi MS 39530
Phone: (228) 374-2051
Fax: (228) 374-5741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0102201779 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20037 Mississippi

Profile Details

NPI number 1306826854
LBN Legal business name Peterson, Andrew J.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Nov 30th, 2011 - about 14 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 1306826854 NPPES
Mississippi MEDICAID 01977252

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