Peterson, Daniel L

Peterson, Daniel L is an individual health care provider with primary practice located at 926 Incline Way Unit 150, Incline Village NV 89451-7933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Peterson, Daniel L can be contacted via phone (775) 832-0989.

Contact Information

Primary practice address
926 Incline Way Unit 150 Incline Village NV 89451-7933
Fax: (775) 832-3046
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4249 Nevada

Profile Details

NPI number 1972630564
LBN Legal business name Peterson, Daniel L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Mar 2nd, 2017 - about 8 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 1972630564 NPPES
Nevada MEDICAID 002016984

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