Peterson, Melissa B

Peterson, Melissa B is an individual health care provider with primary practice located at 13123 E. 16Th Avenue The Children'S Hospital Colorado, Aurora CO 80045-7106. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is her primary health care specialty. Peterson, Melissa B can be contacted via phone (720) 777-1234.

Contact Information

Primary practice address
13123 E. 16Th Avenue The Children'S Hospital Colorado Aurora CO 80045-7106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301087956 Michigan
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 236063 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 233371 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X MT196412 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 50290 Colorado

Profile Details

NPI number 1669590105
LBN Legal business name Peterson, Melissa B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Apr 11th, 2013 - about 11 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 1669590105 NPPES
Colorado MEDICAID 09022074

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