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
Fax: (785) 478-1508
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124129754 NPPES
Kansas MEDICAID 100193590B
Kansas Other 106215

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