Peterson, Marcus L

Peterson, Marcus L is an sole proprietor health care provider with primary practice located at 676 S Bluff St #207, St George UT 84770-3568. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Peterson, Marcus L can be contacted via phone (435) 628-2895.

Contact Information

Primary practice address
676 S Bluff St #207 St George UT 84770-3568
Phone: (435) 628-2895
Fax: (435) 628-5943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 183446-1205 Utah

Profile Details

NPI number 1518918713
LBN Legal business name Peterson, Marcus L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Sep 17th, 2012 - about 12 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 1518918713 NPPES
Utah Other 201302847 OTHER ID
Utah Other 19344612000001 OTHER ID
Utah Other 107029664101 OTHER ID
Utah Other 201302841793981 OTHER ID
Utah Other 2085401 OTHER ID
Utah Other 902568 OTHER ID
Utah Other 201302841 OTHER ID
Utah Other 870436699 OTHER ID
Utah Other 107007770102 OTHER ID

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