Peterson, Jeffrey M

Peterson, Jeffrey M is an individual health care provider with primary practice located at 362 Meridian Parke Ln Ste A , Greenwood IN 46142-9425. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Peterson, Jeffrey M can be contacted via phone (317) 528-8760.

Contact Information

Primary practice address
362 Meridian Parke Ln Ste A Greenwood IN 46142-9425
Phone: (317) 528-8760
Fax: (317) 528-8761
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 01040605A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01040605A Indiana

Profile Details

NPI number 1740262716
LBN Legal business name Peterson, Jeffrey M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Sep 13th, 2023 - about 2 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 1740262716 NPPES
Indiana MEDICAID 100095720B

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