Peterson, Peggy S

Peterson, Peggy S is an individual health care provider with primary practice located at 1133 College Ave , Manhattan KS 66502-2770. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Peterson, Peggy S can be contacted via phone (785) 539-5363.

Contact Information

Primary practice address
1133 College Ave Manhattan KS 66502-2770
Phone: (785) 539-5363
Fax: (785) 539-5862
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0518987 Kansas

Profile Details

NPI number 1861400301
LBN Legal business name Peterson, Peggy S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Mar 6th, 2012 - about 12 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 1861400301 NPPES
Kansas Other 220020955 RR MEDICARE
Kansas MEDICAID 1000162020A RR MEDICARE

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