Peterson, Jon T

Peterson, Jon T is an individual health care provider with primary practice located at 1213 24Th St Ste 100 , Anacortes WA 98221-2595. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peterson, Jon T can be contacted via phone (360) 293-3101.

Contact Information

Primary practice address
1213 24Th St Ste 100 Anacortes WA 98221-2595
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP00001517 Washington

Profile Details

NPI number 1669553723
LBN Legal business name Peterson, Jon T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Mar 7th, 2023 - about last year

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 1669553723 NPPES
Other A1820 PREMERA HEALTH
Other 3568326 PREMERA HEALTH
Other 50D1031645 PREMERA HEALTH
Other OP00001517 PREMERA HEALTH
Other 601371600 PREMERA HEALTH
Other A1825 PREMERA HEALTH
Other 8192247 PREMERA HEALTH
Other A1820 PREMERA HEALTH
Other O186018 PREMERA HEALTH
Other 2007PE PREMERA HEALTH
Other 2007PE PREMERA HEALTH
Other 5617199 PREMERA HEALTH
Other A1820 PREMERA HEALTH

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