Peterson, Paul Arnold
Peterson, Paul Arnold is an individual health care provider with primary practice located at 3300 Providence Dr Ste B-104 , Anchorage AK 99508-4690. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Peterson, Paul Arnold can be contacted via phone (607) 212-7997.Contact Information
Primary practice address
3300 Providence Dr Ste B-104
Anchorage AK 99508-4690
Phone: (607) 212-7997
Fax: (907) 212-8225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2641 | Alaska |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 2641 | Alaska |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2641 | Alaska |
Profile Details
| NPI number | 1053336354 |
|---|---|
| LBN Legal business name | Peterson, Paul Arnold |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Nov 24th, 2023 - about last year |
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 | 1053336354 | NPPES |
| Alaska | MEDICAID | 1011916 | |
| Alaska | Other | 060051650 |
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