Peterson, Cheryl S
Peterson, Cheryl S is an sole proprietor health care provider with primary practice located at 2797 Prairie Ave Suite 26, Beloit WI 53511-2288. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Peterson, Cheryl S can be contacted via phone (815) 714-8030.Contact Information
Primary practice address
2797 Prairie Ave Suite 26
Beloit WI 53511-2288
Phone: (815) 714-8030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-080979 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 31236020 | Wisconsin |
Profile Details
| NPI number | 1386737674 |
|---|---|
| LBN Legal business name | Peterson, Cheryl S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Oct 20th, 2023 - about 2 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 | 1386737674 | NPPES |
| Illinois | Other | 553180 | MEDICARE GROUP # |
| Illinois | MEDICAID | 31600400 | MEDICARE GROUP # |
| Illinois | Other | 834340 | MEDICARE GROUP # |
Popular Providers
-
Greenfield, Bruce E
403 Wisconsin Ave , Beloit WI 53511 -
Tecarro, Christel
1905 E. Huebbe Parkway Beloit Health System Inc, Beloit WI 53511-1842 -
Flood, James C.
2825 Prairie Ave , Beloit WI 53511-1844 -
Maxey, Meredith A.
Beloit Clinic 1905 E. Huebbe Parkway, Beloit WI 53511-1842 -
Wang, Jack-Ky
1905 E. Huebbe Parkway Beloit Health System, Inc, Beloit WI 53511-1842 -
Bouc, Geoffrey Thomas
3005 Riverside Dr Suite 101, Beloit WI 53511-1500 -
Anjum, Shamshad A.
1735 Madison Road Westside Clinic, Beloit WI 53511-3216 -
Rudisill, Stephen R
1650 Lee Lane Occupation Health Sports & Family Medicine Center, Beloit WI 53511-3935