Peterson, Barry John

Peterson, Barry John is an individual health care provider with primary practice located at 256 N 2Nd E , Rexburg ID 83440-1638. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Allergy. Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery is his primary health care specialty. Peterson, Barry John can be contacted via phone (208) 656-9646.

Contact Information

Primary practice address
256 N 2Nd E Rexburg ID 83440-1638
Phone: (208) 656-9646
Fax: (208) 656-9645
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X O-0522 Idaho
Allopathic & Osteopathic Physicians / Allergy 207KA0200X O-0522 Idaho

Profile Details

NPI number 1447456272
LBN Legal business name Peterson, Barry John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Jun 11th, 2014 - about 10 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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