Peterson, Chad Allan
Peterson, Chad Allan is an individual health care provider with primary practice located at 980 W Ironwood Dr Ste. 104, Coeur D Alene ID 83814-2668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Peterson, Chad Allan can be contacted via phone (208) 667-0621.Contact Information
Primary practice address
980 W Ironwood Dr Ste. 104
Coeur D Alene ID 83814-2668
Phone: (208) 667-0621
Fax: (208) 664-1709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | M-10619 | Idaho |
Profile Details
| NPI number | 1629284732 |
|---|---|
| LBN Legal business name | Peterson, Chad Allan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2007 |
| Last updated | May 31st, 2012 - about 12 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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