Peterson, Todd Victor

Peterson, Todd Victor is an individual health care provider with primary practice located at 3208 Baltusrol Dr , Chambersburg PA 17202-7038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peterson, Todd Victor can be contacted via phone (717) 860-0890.

Contact Information

Primary practice address
3208 Baltusrol Dr Chambersburg PA 17202-7038
Phone: (717) 860-0890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD065733L Pennsylvania

Profile Details

NPI number 1023012408
LBN Legal business name Peterson, Todd Victor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Mar 7th, 2023 - about 2 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 1023012408 NPPES
Pennsylvania Other 25-1716306 HEALTHNET/TRICARE
Pennsylvania Other 50059950 HEALTHNET/TRICARE
Pennsylvania Other 50085311 HEALTHNET/TRICARE
Pennsylvania Other 080135921 HEALTHNET/TRICARE
Pennsylvania Other 2134441 HEALTHNET/TRICARE
Pennsylvania Other 25-1716306 HEALTHNET/TRICARE
Pennsylvania Other 25-1716306 HEALTHNET/TRICARE
Pennsylvania Other 25-1716306 HEALTHNET/TRICARE
Pennsylvania Other 1007307260034 HEALTHNET/TRICARE
Pennsylvania Other 25-1716306 HEALTHNET/TRICARE
Pennsylvania Other 426611 HEALTHNET/TRICARE
Pennsylvania Other 5957727 HEALTHNET/TRICARE
Pennsylvania Other PE085826 HEALTHNET/TRICARE
Pennsylvania MEDICAID 0017392500005 HEALTHNET/TRICARE
Pennsylvania Other 120420420 HEALTHNET/TRICARE
Pennsylvania Other 122865 HEALTHNET/TRICARE
Pennsylvania Other 867633 HEALTHNET/TRICARE
Pennsylvania Other G920-0027/KDM4PO HEALTHNET/TRICARE
Pennsylvania Other 25-1716306 HEALTHNET/TRICARE
Pennsylvania Other MD065733L HEALTHNET/TRICARE
Pennsylvania MEDICAID 001739250 0007 HEALTHNET/TRICARE
Pennsylvania Other 2117289 HEALTHNET/TRICARE
Pennsylvania Other 25-1716306 HEALTHNET/TRICARE
Pennsylvania Other 2160082 HEALTHNET/TRICARE

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