Peterson, Craig A
Peterson, Craig A is an individual health care provider with primary practice located at 1229 E Seminole St , Springfield MO 65804-2227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Peterson, Craig A can be contacted via phone (417) 820-9393.Contact Information
Primary practice address
1229 E Seminole St
Springfield MO 65804-2227
Phone: (417) 820-9393
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | R7E36 | Missouri |
Profile Details
| NPI number | 1396888640 |
|---|---|
| LBN Legal business name | Peterson, Craig A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Oct 18th, 2011 - about 15 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 | 1396888640 | NPPES |
| Missouri | MEDICAID | 202118733 | |
| Missouri | Other | 81582 | |
| Missouri | Other | 22698 | |
| Missouri | MEDICAID | 111851001 |
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