Peterson, Daniel

Peterson, Daniel is an individual health care provider with primary practice located at 210 9Th St Se , Rochester MN 55904-6756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Peterson, Daniel can be contacted via phone (507) 288-3443.

Contact Information

Primary practice address
210 9Th St Se Rochester MN 55904-6756
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 44050 Minnesota

Profile Details

NPI number 1124005822
LBN Legal business name Peterson, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Mar 13th, 2015 - about 9 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 1124005822 NPPES
Minnesota MEDICAID 44T5PE
Minnesota MEDICAID 969670900
Minnesota MEDICAID 577577
Minnesota Other MH9041041407
Minnesota MEDICAID 141091
Minnesota Other 08-01109
Minnesota Other 2159678
Minnesota Other 9898
Minnesota Other HP42865
Minnesota Other 444T5PE

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