Peterson, Earl Joel

Peterson, Earl Joel is an individual health care provider with primary practice located at 4080 W Broadway Ave Suite 200, Robbinsdale MN 55422-5604. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Peterson, Earl Joel can be contacted via phone (763) 520-5551.

Contact Information

Primary practice address
4080 W Broadway Ave Suite 200 Robbinsdale MN 55422-5604
Phone: (763) 520-5551
Fax: (763) 520-1734
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25889 Minnesota
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 25889 Minnesota

Profile Details

NPI number 1386834984
LBN Legal business name Peterson, Earl Joel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Oct 27th, 2007 - about 17 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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