Peterson, Phillip Robert

Peterson, Phillip Robert is an individual health care provider with primary practice located at One Hospital Drive , Lewisburg PA 17837-9350. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Peterson, Phillip Robert can be contacted via phone (570) 522-2640.

Contact Information

Primary practice address
One Hospital Drive Lewisburg PA 17837-9350
Phone: (570) 522-2640
Fax: (570) 768-3921
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD447379 Pennsylvania
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD447379 Pennsylvania

Profile Details

NPI number 1003137613
LBN Legal business name Peterson, Phillip Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2010
Last updated Jun 9th, 2022 - about 2 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 1003137613 NPPES
Pennsylvania MEDICAID 1028234030003

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