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
Phone: (801) 408-2233
Fax: (801) 408-2870
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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