Peterson, Dennis Lee
Peterson, Dennis Lee is an sole proprietor health care provider with primary practice located at 705 6Th Avenue East , Kalispell MT 59901-5047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Peterson, Dennis Lee can be contacted via phone (406) 755-7366.Contact Information
Primary practice address
705 6Th Avenue East
Kalispell MT 59901-5047
Phone: (406) 755-7366
Fax: (406) 755-7277
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MED-PHYS-LIC-4557 | Montana |
Profile Details
NPI number | 1205986460 |
---|---|
LBN Legal business name | Peterson, Dennis Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 11th, 2007 |
Last updated | Mar 14th, 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 | 1205986460 | NPPES |
Montana | MEDICAID | 0143754 |
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