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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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