Peterson, Jack Noel

Peterson, Jack Noel is an sole proprietor health care provider with primary practice located at 613 Carmenere Dr , Kenner LA 70065-1107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Peterson, Jack Noel can be contacted via phone (504) 466-4575.

Contact Information

Primary practice address
613 Carmenere Dr Kenner LA 70065-1107
Phone: (504) 466-4575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD011350 Louisiana

Profile Details

NPI number 1700019619
LBN Legal business name Peterson, Jack Noel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2009
Last updated Aug 25th, 2009 - about 16 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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