Peterson, Michael
Peterson, Michael is an individual health care provider with primary practice located at 700 W Kent Ave , Missoula MT 59801-6772. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Peterson, Michael can be contacted via phone (406) 541-3937.Contact Information
Primary practice address
700 W Kent Ave
Missoula MT 59801-6772
Phone: (406) 541-3937
Fax: (406) 541-1810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 6492 | Montana |
Profile Details
| NPI number | 1114911831 |
|---|---|
| LBN Legal business name | Peterson, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Apr 14th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114911831 | NPPES |
| Montana | MEDICAID | 081471 |
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