Peterson, Shaun N

Peterson, Shaun N is an individual health care provider with primary practice located at 5301 E Grant Rd , Tucson AZ 85712-2805. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Peterson, Shaun N can be contacted via phone (520) 784-6200.

Contact Information

Primary practice address
5301 E Grant Rd Tucson AZ 85712-2805
Phone: (520) 784-6200
Fax: (520) 784-6109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD10803 Hawaii
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A97027 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD60145041 Washington
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD60145041 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 65052 Arizona

Profile Details

NPI number 1861472656
LBN Legal business name Peterson, Shaun N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Dec 1st, 2022 - about 3 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 1861472656 NPPES
Arizona MEDICAID 100566
Arizona Other 00A970270

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