Peterson, Richard Edward

Peterson, Richard Edward is an individual health care provider with primary practice located at 500 Upper Chesapeake Dr , Bel Air MD 21014-4324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Peterson, Richard Edward can be contacted via phone (410) 420-7630.

Contact Information

Primary practice address
500 Upper Chesapeake Dr Bel Air MD 21014-4324
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X D0059072 Maryland

Profile Details

NPI number 1174566269
LBN Legal business name Peterson, Richard Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Aug 24th, 2010 - about 14 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 1174566269 NPPES
Maryland MEDICAID 154631701

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