Peterson, Grant E

Peterson, Grant E is an individual health care provider with primary practice located at 2515 Sw State St Ste 100, Ankeny IA 50023-7079. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Peterson, Grant E can be contacted via phone (515) 964-6929.

Contact Information

Primary practice address
2515 Sw State St Ste 100 Ankeny IA 50023-7079
Phone: (515) 964-6929
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 6336 Nebraska
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD-41575 Iowa

Profile Details

NPI number 1881905370
LBN Legal business name Peterson, Grant E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2010
Last updated Oct 13th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881905370 NPPES
Iowa MEDICAID 1881905370
Iowa Other P01353680

Popular Providers