Peterson, Gregory James
Peterson, Gregory James is an sole proprietor health care provider with primary practice located at 1505 Pebble Lake Rd Suite 500, Fergus Falls MN 56537-3800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peterson, Gregory James can be contacted via phone (218) 736-1884.Contact Information
Primary practice address
1505 Pebble Lake Rd Suite 500
Fergus Falls MN 56537-3800
Phone: (218) 736-1884
Fax: (218) 736-1880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 020301 | Minnesota |
Profile Details
| NPI number | 1790844009 |
|---|---|
| LBN Legal business name | Peterson, Gregory James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Sep 9th, 2009 - about 15 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 | 1790844009 | NPPES |
| Minnesota | MEDICAID | 436777400 |
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