Peterson, John William
Peterson, John William is an individual health care provider with primary practice located at 893 Main Street , East Machias ME 04963-0893. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peterson, John William can be contacted via phone (207) 255-0102.Contact Information
Primary practice address
893 Main Street
East Machias ME 04963-0893
Phone: (207) 255-0102
Fax: (207) 255-4645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 008942 | Maine |
Profile Details
| NPI number | 1578616967 |
|---|---|
| LBN Legal business name | Peterson, John William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Mar 9th, 2010 - about 14 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 | 1578616967 | NPPES |
| Maine | MEDICAID | 124490099 |
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