Peterson, John Chadwick
Peterson, John Chadwick is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017-3403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Peterson, John Chadwick can be contacted via phone (859) 757-4446.Contact Information
Primary practice address
1 Medical Village Dr
Edgewood KY 41017-3403
Phone: (859) 757-4446
Fax: (859) 344-1999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | TP802 | Kentucky |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 39552 | Kentucky |
Profile Details
| NPI number | 1558369934 |
|---|---|
| LBN Legal business name | Peterson, John Chadwick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Jan 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558369934 | NPPES |
| Kentucky | MEDICAID | 64107113 |
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