Peterson, Mark W
Peterson, Mark W is an individual health care provider with primary practice located at 415 6Th St , Lewiston ID 83501-2431. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Peterson, Mark W can be contacted via phone (208) 799-5335.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | M5240 | Idaho |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | M5240 | Idaho |
Profile Details
NPI number | 1356312524 |
---|---|
LBN Legal business name | Peterson, Mark W |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 27th, 2006 |
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 | 1356312524 | NPPES |
Other | P00165374 | RAILROAD MEDICARE | |
Other | 0192980 | RAILROAD MEDICARE | |
Other | 000010005909 | RAILROAD MEDICARE | |
Other | 71498 | RAILROAD MEDICARE | |
MEDICAID | 8156473 | RAILROAD MEDICARE |
Popular Providers
-
Campbell, Shannon D
1114 9Th Ave , Lewiston ID 83501-2659 -
Leon, Richard Scott
2315 8Th St , Lewiston ID 83501-7301 -
Landis, Gregory C
3201 5Th St , Lewiston ID 83501 -
Spurling, Gregory Robert
531 4Th Ave , Lewiston ID 83501-2450 -
Davis, Barbara Kay
222 Southway Ave Ste C, Lewiston ID 83501-2703 -
Arnzen, Barbara Rose
2315 8Th St , Lewiston ID 83501-7301 -
Watson, Alex Benton
2315 8Th St , Lewiston ID 83501-7301 -
Ozeran, Steven Edwin
1630 23Rd Ave Ste 901A, Lewiston ID 83501