Peterson, Darryl L
Peterson, Darryl L is an individual health care provider with primary practice located at 1110 Saint Marys Rd , Junction City KS 66441-4176. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Peterson, Darryl L can be contacted via phone (857) 622-5857.Contact Information
Primary practice address
1110 Saint Marys Rd
Junction City KS 66441-4176
Phone: (857) 622-5857
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 15-01662 | Kansas |
Profile Details
| NPI number | 1760454425 |
|---|---|
| LBN Legal business name | Peterson, Darryl L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Jun 3rd, 2024 - about last year |
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 | 1760454425 | NPPES |
| Wisconsin | MEDICAID | 42880500 |
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