Peterson, Dennis

Peterson, Dennis is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Peterson, Dennis can be contacted via phone (715) 389-4592.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449
Phone: (715) 389-4592
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1408 Wisconsin

Profile Details

NPI number 1205948478
LBN Legal business name Peterson, Dennis
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1205948478 NPPES
Wisconsin MEDICAID 41931900

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