Peterson, Eric Lee
Peterson, Eric Lee is an sole proprietor health care provider with primary practice located at 426 W Main St , Salem VA 24153-3610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Peterson, Eric Lee can be contacted via phone (540) 855-5100.Contact Information
Primary practice address
426 W Main St
Salem VA 24153-3610
Phone: (540) 855-5100
Fax: (540) 387-3349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0101275027 | Virginia |
Profile Details
| NPI number | 1497250252 |
|---|---|
| LBN Legal business name | Peterson, Eric Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2018 |
| Last updated | Aug 11th, 2022 - about 3 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 | 1497250252 | NPPES |
| Virginia | MEDICAID | 1497250252 |
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