Peterson, Diana L

Peterson, Diana L is an individual health care provider with primary practice located at 400 Burdick Expy E , Minot ND 58701-4768. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Peterson, Diana L can be contacted via phone (701) 857-5413.

Contact Information

Primary practice address
400 Burdick Expy E Minot ND 58701-4768
Fax: (701) 857-5028
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 7527 North Dakota

Profile Details

NPI number 1811068950
LBN Legal business name Peterson, Diana L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2006
Last updated Dec 26th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811068950 NPPES
North Dakota MEDICAID 18932

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