Peterson, Mark

Peterson, Mark is an sole proprietor health care provider with primary practice located at 143 N Main St , Southington CT 06489-2513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Peterson, Mark can be contacted via phone (860) 621-6764.

Contact Information

Primary practice address
143 N Main St Southington CT 06489-2513
Phone: (860) 621-6764
Fax: (860) 621-2640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22224 Connecticut

Profile Details

NPI number 1467519793
LBN Legal business name Peterson, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 18 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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