Peterson, Julie L
Peterson, Julie L is an individual health care provider with primary practice located at 4633 E Chandler Blvd Ste 100, Phoenix AZ 85048-0431. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Peterson, Julie L can be contacted via phone (480) 776-0440.Contact Information
Primary practice address
4633 E Chandler Blvd Ste 100
Phoenix AZ 85048-0431
Phone: (480) 776-0440
Fax: (480) 776-0444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 26416 | Arizona |
Profile Details
| NPI number | 1982608907 |
|---|---|
| LBN Legal business name | Peterson, Julie L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982608907 | NPPES |
| Arizona | MEDICAID | 432550 |
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