Peterson, Richard Boyd
Peterson, Richard Boyd is an individual health care provider with primary practice located at 424 Division St Suite 100, South Charleston WV 25309-1400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Peterson, Richard Boyd can be contacted via phone (304) 766-4342.Contact Information
Primary practice address
424 Division St Suite 100
South Charleston WV 25309-1400
Phone: (304) 766-4342
Fax: (304) 766-3541
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 19060 | West Virginia |
Profile Details
| NPI number | 1932201985 |
|---|---|
| LBN Legal business name | Peterson, Richard Boyd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1932201985 | NPPES |
| West Virginia | MEDICAID | 0088429000 |
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