Peterson, Douglas
Peterson, Douglas is an individual health care provider with primary practice located at 900 E Broadway Ave , Bismarck ND 58501-4520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Peterson, Douglas can be contacted via phone (701) 530-7000.Contact Information
Primary practice address
900 E Broadway Ave
Bismarck ND 58501-4520
Phone: (701) 530-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 5206 | North Dakota |
Profile Details
| NPI number | 1720015597 |
|---|---|
| LBN Legal business name | Peterson, Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Jul 22nd, 2016 - about 8 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 | 1720015597 | NPPES |
| North Dakota | MEDICAID | 1452800 | |
| North Dakota | Other | P00441490 |
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