Peterson, Justin William
Peterson, Justin William is an sole proprietor health care provider with primary practice located at 2424 S 90Th St , West Allis WI 53227-2455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Peterson, Justin William can be contacted via phone (414) 321-2255.Contact Information
Primary practice address
2424 S 90Th St
West Allis WI 53227-2455
Phone: (414) 321-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 71467 | Wisconsin |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 5101020737 | Michigan |
Profile Details
| NPI number | 1033558010 |
|---|---|
| LBN Legal business name | Peterson, Justin William |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2013 |
| Last updated | Nov 17th, 2023 - about 2 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 | 1033558010 | NPPES |
| Wisconsin | MEDICAID | 100091524 |
Popular Providers
-
Krug, Alvin K.
9400 W Lincoln Ave Suite A, West Allis WI 53227-2306 -
Omeara, Mark T
1700 W Paradise Dr , West Bend WI 53095-9795 -
Larson, Jeffrey E
2424 S 90Th St Suite 500, West Allis WI 53227-2455 -
Rolle, Garrison A
3334 Capital Medical Blvd Ste 400, Tallahassee FL 32308-8405 -
Reineck, Michael Charles
1201 Oak St , West Bend WI 53095-3800 -
Mullin, Timothy I
1700 W Paradise Dr Orthopaedic Surgery, West Bend WI 53095-9795 -
Schultz, Timothy Karl
3200 Pleasant Valley Rd , West Bend WI 53095-9274 -
Tremblay, Marc-Antoine
2424 S 90Th St Ste 500 , West Allis WI 53227-2464