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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 5 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 1760454425 NPPES
Wisconsin MEDICAID 42880500

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