Peterson, Michael W.

Peterson, Michael W. is an individual health care provider with primary practice located at 600 S Austin Rd , Eagle Lake TX 77434-3202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Peterson, Michael W. can be contacted via phone (979) 234-5571.

Contact Information

Primary practice address
600 S Austin Rd Eagle Lake TX 77434-3202
Phone: (979) 234-5571
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X K0994 Texas

Profile Details

NPI number 1124110127
LBN Legal business name Peterson, Michael W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Nov 15th, 2022 - about 3 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 1124110127 NPPES
Texas MEDICAID 029922416

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