Sereque, Peter Arnold

Sereque, Peter Arnold is an individual health care provider with primary practice located at 250 N Grove Medical Park Dr , Spartanburg SC 29303-4222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Sereque, Peter Arnold can be contacted via phone (864) 560-7002.

Contact Information

Primary practice address
250 N Grove Medical Park Dr Spartanburg SC 29303-4222
Fax: (864) 560-6009
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 07180 South Carolina

Profile Details

NPI number 1285696690
LBN Legal business name Sereque, Peter Arnold
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Feb 23rd, 2011 - about 13 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 1285696690 NPPES
South Carolina MEDICAID 007180

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