Peterson, Ron

Peterson, Ron is an individual health care provider with primary practice located at 1100 Carson Ave Suite 201, La Junta CO 81050-2751. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Peterson, Ron can be contacted via phone (719) 383-5900.

Contact Information

Primary practice address
1100 Carson Ave Suite 201 La Junta CO 81050-2751
Phone: (719) 383-5900
Fax: (719) 383-6533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 55424 Colorado

Profile Details

NPI number 1245220086
LBN Legal business name Peterson, Ron
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jul 8th, 2007 - about 18 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 1245220086 NPPES
Colorado Other 840706945002 ROCKY MOUNTAIN HEALTH PLA

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