Peterson, Robert L
Peterson, Robert L is an individual health care provider with primary practice located at 6725 Sw 29Th St , Topeka KS 66614-5625. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Peterson, Robert L can be contacted via phone (785) 478-1500.Contact Information
Primary practice address
6725 Sw 29Th St
Topeka KS 66614-5625
Phone: (785) 478-1500
Fax: (785) 478-1508
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 04-12948 | Kansas |
Profile Details
NPI number | 1124129754 |
---|---|
LBN Legal business name | Peterson, Robert L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2006 |
Last updated | May 8th, 2018 - about 7 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 | 1124129754 | NPPES |
Kansas | MEDICAID | 100193590B | |
Kansas | Other | 106215 |
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