Peterson, James Allen Kraft
Peterson, James Allen Kraft is an individual health care provider with primary practice located at 145 Oak Meadow Rd , Sierra Madre CA 91024-2661. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Peterson, James Allen Kraft can be contacted via phone (415) 793-3269.Contact Information
Primary practice address
145 Oak Meadow Rd
Sierra Madre CA 91024-2661
Phone: (415) 793-3269
Fax: (702) 384-1815
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 20A8715 | California |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 20A8715 | California |
Profile Details
NPI number | 1376545863 |
---|---|
LBN Legal business name | Peterson, James Allen Kraft |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 15th, 2005 |
Last updated | Nov 5th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376545863 | NPPES |
Nevada | MEDICAID | 1376545863 | |
Nevada | MEDICAID | 1376545863 | |
Nevada | Other | P01361869 | |
Nevada | Other | P01361871 |
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