Peterson, Michael Andrew
Peterson, Michael Andrew is an individual health care provider with primary practice located at 1615 Maple Lane , Ashland WI 54806. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Peterson, Michael Andrew can be contacted via phone (715) 682-4563.Contact Information
Primary practice address
1615 Maple Lane
Ashland WI 54806
Phone: (715) 682-4563
Fax: (715) 685-5108
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 80086030 | Wisconsin |
Profile Details
NPI number | 1023087046 |
---|---|
LBN Legal business name | Peterson, Michael Andrew |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 14th, 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 | 1023087046 | NPPES |
Wisconsin | MEDICAID | 44320400 |
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