Peterson, Gail E

Peterson, Gail E is an individual health care provider with primary practice located at 2526 Central Ave , Columbus IN 47201-3121. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Peterson, Gail E can be contacted via phone (812) 376-7263.

Contact Information

Primary practice address
2526 Central Ave Columbus IN 47201-3121
Phone: (812) 376-7263
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10458 Indiana

Profile Details

NPI number 1194739250
LBN Legal business name Peterson, Gail E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Oct 27th, 2016 - about 9 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 1194739250 NPPES
Indiana MEDICAID 200397400

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