Peterson, Perry Herman
Peterson, Perry Herman is an sole proprietor health care provider with primary practice located at 325 County Road 144B , Marble Falls TX 78654-8020. He recently has 5 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Public Medicine, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Peterson, Perry Herman can be contacted via phone (830) 798-8314.Contact Information
Primary practice address
325 County Road 144B
Marble Falls TX 78654-8020
Phone: (830) 798-8314
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 0567 | Texas |
| Podiatric Medicine & Surgery Service Providers / Public Medicine | 213EP0504X | 0567 | Texas |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 0567 | Texas |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 0567 | Texas |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 0567 | Texas |
Profile Details
| NPI number | 1982715439 |
|---|---|
| LBN Legal business name | Peterson, Perry Herman |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Nov 30th, 2014 - about 10 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 | 1982715439 | NPPES |
| Texas | MEDICAID | 0008138-01 | |
| Texas | Other | 00AM35 |
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