Peterson, John A
Peterson, John A is an individual health care provider with primary practice located at 5006 Lakeshore Dr , New Bern NC 28562-5020. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Peterson, John A can be contacted via phone (252) 635-6446.Contact Information
Primary practice address
5006 Lakeshore Dr
New Bern NC 28562-5020
Phone: (252) 635-6446
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 001000034 | North Carolina |
Profile Details
| NPI number | 1518950138 |
|---|---|
| LBN Legal business name | Peterson, John A |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Aug 4th, 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 | 1518950138 | NPPES |
| North Carolina | MEDICAID | 891036C |
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