Peterson, Donny J
Peterson, Donny J is an individual health care provider with primary practice located at 2525 Ne 139Th St , Vancouver WA 98686-2719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Peterson, Donny J can be contacted via phone (360) 882-2778.Contact Information
Primary practice address
2525 Ne 139Th St
Vancouver WA 98686-2719
Phone: (360) 882-2778
Fax: (360) 604-1755
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD00048214 | Washington |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 26159 | Oklahoma |
Profile Details
NPI number | 1548304108 |
---|---|
LBN Legal business name | Peterson, Donny J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 16th, 2007 |
Last updated | Jul 5th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548304108 | NPPES |
Washington | MEDICAID | 8481145 |
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