Peterson, Dakota Zoey

Peterson, Dakota Zoey is an individual health care provider with primary practice located at 2540 New Butler Rd Ste 200 , New Castle PA 16101-3231. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Peterson, Dakota Zoey can be contacted via phone (724) 654-2776.

Contact Information

Primary practice address
2540 New Butler Rd Ste 200 New Castle PA 16101-3231
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD485418 Pennsylvania

Profile Details

NPI number 1316513773
LBN Legal business name Peterson, Dakota Zoey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2021
Last updated Jun 10th, 2024 - about 3 months 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 1316513773 NPPES
Pennsylvania MEDICAID MD485418

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