Peterson, Guy Lander

Peterson, Guy Lander is an sole proprietor health care provider with primary practice located at 8125 Ne 139Th St , Edmond OK 73013-8703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Peterson, Guy Lander can be contacted via phone (405) 396-2287.

Contact Information

Primary practice address
8125 Ne 139Th St Edmond OK 73013-8703
Phone: (405) 396-2287
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4944 Oklahoma

Profile Details

NPI number 1790097798
LBN Legal business name Peterson, Guy Lander
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2010
Last updated Oct 27th, 2011 - about 13 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 1790097798 NPPES
Oklahoma MEDICAID 200294310A

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