Peterson Wellness Primary Care And Pediatrics, Pllc
LBN: Peterson Wellness Primary Care And Pediatrics, Pllc
Peterson Wellness Primary Care And Pediatrics, Pllc is an health care organization with primary practice located at 109 W Commercial St , Broken Arrow OK 74012-4012. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Peterson Wellness Primary Care And Pediatrics, Pllc can be contacted via phone (918) 724-3952, or through Peterson, Ashton Danielle via phone (918) 724-3952.
Contact Information
Primary practice address
109 W Commercial St
Broken Arrow OK 74012-4012
Phone: (918) 724-3952
Fax:
Website:
Authorized official contact:
Name: Peterson, Ashton Danielle Nurse Practitioner (NP)
Phone: (918) 724-3952
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1851062517 |
|---|---|
| LBN Legal business name | Peterson Wellness Primary Care And Pediatrics, Pllc |
| DBA Doing business as | |
| Authorized official | Peterson, Ashton Danielle Nurse Practitioner (NP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 22nd, 2021 |
| Last updated | Sep 22nd, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851062517 | NPPES |
| Oklahoma | MEDICAID | 200833910A |
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