Peterson, Lowell Frank

Peterson, Lowell Frank is an sole proprietor health care provider with primary practice located at 2627 Beechwood Court , Appleton WI 54911. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Peterson, Lowell Frank can be contacted via phone (920) 739-8004.

Contact Information

Primary practice address
2627 Beechwood Court Appleton WI 54911
Phone: (920) 739-8004
Fax: (920) 225-1479
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 14668-20 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 14668-20 Wisconsin

Profile Details

NPI number 1235181611
LBN Legal business name Peterson, Lowell Frank
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Oct 3rd, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235181611 NPPES
Wisconsin MEDICAID 31153400

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