Peterson, Shawn

Peterson, Shawn is an individual health care provider with primary practice located at 1700 Nicholasville Rd Ste 1100 , Lexington KY 40503-1466. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Peterson, Shawn can be contacted via phone (859) 276-0414.

Contact Information

Primary practice address
1700 Nicholasville Rd Ste 1100 Lexington KY 40503-1466
Phone: (859) 276-0414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R3588 Kentucky
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 50117 Kentucky
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 50117 Kentucky

Profile Details

NPI number 1710392477
LBN Legal business name Peterson, Shawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2014
Last updated Dec 7th, 2020 - about 4 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 1710392477 NPPES
Kentucky MEDICAID 7100367380

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