Peterson, David C

Peterson, David C is an individual health care provider with primary practice located at 323 S Minnesota St , Crookston MN 56716-1601. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Peterson, David C can be contacted via phone (218) 281-9556.

Contact Information

Primary practice address
323 S Minnesota St Crookston MN 56716-1601
Phone: (218) 281-9556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 301 Minnesota
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 301 Minnesota

Profile Details

NPI number 1780760868
LBN Legal business name Peterson, David C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jan 8th, 2008 - about 16 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 1780760868 NPPES
North Dakota Other 26801 BCBS
North Dakota Other 0921200001 BCBS
North Dakota Other 597S9PE BCBS

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