Peterson, Paul Carl

Peterson, Paul Carl is an individual health care provider with primary practice located at 501 20Th St Suite 503, Knoxville TN 37916-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Peterson, Paul Carl can be contacted via phone (865) 541-4321.

Contact Information

Primary practice address
501 20Th St Suite 503 Knoxville TN 37916-1809
Phone: (865) 541-4321
Fax: (865) 541-4320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD0000027743 Tennessee

Profile Details

NPI number 1891780862
LBN Legal business name Peterson, Paul Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Jun 24th, 2020 - about 5 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 1891780862 NPPES
Tennessee MEDICAID 3099553

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