Peterson, Thomas T

Peterson, Thomas T is an individual health care provider with primary practice located at 5881 W 16Th St , Greeley CO 80634-2910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Peterson, Thomas T can be contacted via phone (970) 313-2740.

Contact Information

Primary practice address
5881 W 16Th St Greeley CO 80634-2910
Phone: (970) 313-2740
Fax: (970) 313-2744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 27816 Colorado

Profile Details

NPI number 1841240991
LBN Legal business name Peterson, Thomas T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 2nd, 2013 - about 12 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 1841240991 NPPES
Colorado MEDICAID 01278167

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