Peterson, Daniel Albin

Peterson, Daniel Albin is an individual health care provider with primary practice located at 600 N Wolfe St Ross 659, Baltimore MD 21287-0005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Peterson, Daniel Albin can be contacted via phone (443) 287-4593.

Contact Information

Primary practice address
600 N Wolfe St Ross 659 Baltimore MD 21287-0005
Phone: (443) 287-4593
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 200301074 Missouri
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X D72729 Maryland

Profile Details

NPI number 1528276912
LBN Legal business name Peterson, Daniel Albin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Dec 27th, 2012 - 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 1528276912 NPPES
Maryland MEDICAID 047493200

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