Peterson, Michael W.

Peterson, Michael W. is an individual health care provider with primary practice located at 2335 E Kashian Ln Ste 260 , Fresno CA 93701-2234. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Peterson, Michael W. can be contacted via phone (559) 256-5130.

Contact Information

Primary practice address
2335 E Kashian Ln Ste 260 Fresno CA 93701-2234
Phone: (559) 256-5130
Fax: (559) 485-4504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G86406 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X G86406 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X G86406 California

Profile Details

NPI number 1437178985
LBN Legal business name Peterson, Michael W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Feb 2nd, 2021 - 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 1437178985 NPPES
California MEDICAID 00G864060

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