Peterson, John M
Peterson, John M is an individual health care provider with primary practice located at 600 John Deere Road Suite 200, Moline IL 61265-6897. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Peterson, John M can be contacted via phone (309) 779-4200.Contact Information
Primary practice address
600 John Deere Road Suite 200
Moline IL 61265-6897
Phone: (309) 779-4200
Fax: (309) 779-4305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036051289 | Illinois |
Profile Details
| NPI number | 1760452189 |
|---|---|
| LBN Legal business name | Peterson, John M |
| Credentials | PHD, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jun 11th, 2008 - about 16 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 | 1760452189 | NPPES |
| Illinois | Other | 110028700 | RR MEDICARE |
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