Peterson, Ted Steven

Peterson, Ted Steven is an sole proprietor health care provider with primary practice located at 9 E Garfield Rd , Aurora OH 44202-6713. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Peterson, Ted Steven can be contacted via phone (330) 562-2211.

Contact Information

Primary practice address
9 E Garfield Rd Aurora OH 44202-6713
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 36.001787 Ohio

Profile Details

NPI number 1598780553
LBN Legal business name Peterson, Ted Steven
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Jul 30th, 2008 - about 16 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 1598780553 NPPES
Ohio MEDICAID 0321904

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