Peterson, Cobern V

Peterson, Cobern V is an individual health care provider with primary practice located at 2131 S 17Th St , Wilmington NC 28401-7407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Peterson, Cobern V can be contacted via phone (910) 442-1100.

Contact Information

Primary practice address
2131 S 17Th St Wilmington NC 28401-7407
Phone: (910) 442-1100
Fax: (910) 442-1199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 39462 North Carolina

Profile Details

NPI number 1902801715
LBN Legal business name Peterson, Cobern V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jun 3rd, 2011 - about 13 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 1902801715 NPPES
North Carolina Other 2152884G MEDICARE PTAN
North Carolina MEDICAID 896721B MEDICARE PTAN
North Carolina Other 2152884E MEDICARE PTAN

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