Peterson, Robert G

Peterson, Robert G is an individual health care provider with primary practice located at 370 Ninth Ave Suite 111, Salt Lake City UT 84103-2877. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Peterson, Robert G can be contacted via phone (801) 408-2233.

Contact Information

Primary practice address
370 Ninth Ave Suite 111 Salt Lake City UT 84103-2877
Fax: (801) 408-2870
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 1800341205 Utah

Profile Details

NPI number 1497715163
LBN Legal business name Peterson, Robert G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Sep 2nd, 2011 - 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 1497715163 NPPES
Utah Other 18541 PUBLIC EMPLOYEES (PEHP)
Utah Other 870639983PE2 PUBLIC EMPLOYEES (PEHP)
Utah Other 107004866104 PUBLIC EMPLOYEES (PEHP)
Utah Other 20110 PUBLIC EMPLOYEES (PEHP)

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