Peterson, Ronald J.

Peterson, Ronald J. is an individual health care provider with primary practice located at 801 Nicollet Mall Suite 400, Minneapolis MN 55402-2500. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Peterson, Ronald J. can be contacted via phone (612) 333-2503.

Contact Information

Primary practice address
801 Nicollet Mall Suite 400 Minneapolis MN 55402-2500
Phone: (612) 333-2503
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 23275 Minnesota

Profile Details

NPI number 1609827781
LBN Legal business name Peterson, Ronald J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1609827781 NPPES
Minnesota Other 26399 AMERICA'S PPO
Minnesota MEDICAID 30400000 AMERICA'S PPO
Minnesota Other FP9041001070 AMERICA'S PPO
Minnesota Other 13724PE AMERICA'S PPO
Minnesota Other HP14163 AMERICA'S PPO
Minnesota Other 0700065 AMERICA'S PPO
Minnesota Other 0701452 AMERICA'S PPO
Minnesota Other A004 AMERICA'S PPO

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