Peterson, Ryan Paul
Peterson, Ryan Paul is an individual health care provider with primary practice located at 1553 W 9000 S , West Jordan UT 84088-9219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peterson, Ryan Paul can be contacted via phone (801) 563-0300.Contact Information
Primary practice address
1553 W 9000 S
West Jordan UT 84088-9219
Phone: (801) 563-0300
Fax: (801) 565-4690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5683991-1204 | Utah |
Profile Details
| NPI number | 1346237393 |
|---|---|
| LBN Legal business name | Peterson, Ryan Paul |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Oct 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346237393 | NPPES |
| Utah | MEDICAID | 5290622002001 |
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