Peterson, John M

Peterson, John M is an sole proprietor health care provider with primary practice located at 72 Barre St , Montpelier VT 05602-3508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as his primary health care specialty. Peterson, John M can be contacted via phone (802) 229-9418.

Contact Information

Primary practice address
72 Barre St Montpelier VT 05602-3508
Phone: (802) 229-9418
Fax: (802) 229-5619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 032-0000291 Vermont

Profile Details

NPI number 1154404226
LBN Legal business name Peterson, John M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1154404226 NPPES
Vermont MEDICAID 0006153
Vermont Other 6153

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