Peterson, Mckim C

Peterson, Mckim C is an individual health care provider with primary practice located at 195 Union St Midcoast Medicine, Pa, Rockport ME 04856-6107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peterson, Mckim C can be contacted via phone (207) 236-2169.

Contact Information

Primary practice address
195 Union St Midcoast Medicine, Pa Rockport ME 04856-6107
Phone: (207) 236-2169
Fax: (207) 230-0413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 013075 Maine

Profile Details

NPI number 1265549869
LBN Legal business name Peterson, Mckim C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Mar 24th, 2011 - about 14 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 1265549869 NPPES
Maine MEDICAID 130430000

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