Peterson, Paul D
Peterson, Paul D is an individual health care provider with primary practice located at 2600 Outer Dr N , Sioux City IA 51104-1585. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peterson, Paul D can be contacted via phone (712) 239-3300.Contact Information
Primary practice address
2600 Outer Dr N
Sioux City IA 51104-1585
Phone: (712) 239-3300
Fax: (712) 239-8201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 03181 | Iowa |
Profile Details
| NPI number | 1326013426 |
|---|---|
| LBN Legal business name | Peterson, Paul D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jan 31st, 2011 - about 13 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 | 1326013426 | NPPES |
| Nebraska | MEDICAID | 75305796314 | |
| Nebraska | MEDICAID | 4186098 | |
| Nebraska | MEDICAID | 7786682 |
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