Peterson, Rod H
Peterson, Rod H is an sole proprietor health care provider with primary practice located at 105 W 8Th Ave Suite 6055, Spokane WA 99204-2302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Peterson, Rod H can be contacted via phone (509) 455-9090.Contact Information
Primary practice address
105 W 8Th Ave Suite 6055
Spokane WA 99204-2302
Phone: (509) 455-9090
Fax: (509) 747-2118
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD00025600 | Washington |
Profile Details
NPI number | 1891744561 |
---|---|
LBN Legal business name | Peterson, Rod H |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 9th, 2006 |
Last updated | Jan 24th, 2019 - about 6 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 | 1891744561 | NPPES |
Washington | MEDICAID | 2029663 |
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