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
Fax: (360) 604-1755
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548304108 NPPES
Washington MEDICAID 8481145

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