Peterson, John David
Peterson, John David is an sole proprietor health care provider with primary practice located at 8300 Carmel Ave Ne #501, Albuquerque NM 87122-3147. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Peterson, John David can be contacted via phone (505) 797-1001.Contact Information
Primary practice address
8300 Carmel Ave Ne #501
Albuquerque NM 87122-3147
Phone: (505) 797-1001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 59.000337 | Ohio |
Profile Details
| NPI number | 1780985234 |
|---|---|
| LBN Legal business name | Peterson, John David |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2010 |
| Last updated | Jul 17th, 2013 - about 12 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 | 1780985234 | NPPES |
| Ohio | Other | 59.000337 | OHIO LISCENSE TRAINING CERTIFICATE |
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