Peterson, Richard Alvin

Peterson, Richard Alvin is an individual health care provider with primary practice located at 640 Jackson St , Saint Paul MN 55101-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Peterson, Richard Alvin can be contacted via phone (651) 254-3448.

Contact Information

Primary practice address
640 Jackson St Saint Paul MN 55101-2502
Phone: (651) 254-3448
Fax: (763) 302-4081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 47556 Minnesota

Profile Details

NPI number 1699717561
LBN Legal business name Peterson, Richard Alvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Feb 24th, 2021 - about 3 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 1699717561 NPPES
Minnesota Other HP51315 HEALTHPARTNERS
Minnesota Other 2350907 HEALTHPARTNERS
Minnesota Other 01N64PE HEALTHPARTNERS
Minnesota Other P00225563 HEALTHPARTNERS
Minnesota MEDICAID 236934600 HEALTHPARTNERS
Minnesota Other 0500505 HEALTHPARTNERS
Minnesota Other 1043493 HEALTHPARTNERS
Minnesota MEDICAID 34640200 HEALTHPARTNERS
Minnesota Other 132846C029 HEALTHPARTNERS

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