Soo, Peter C

Soo, Peter C is an sole proprietor health care provider with primary practice located at 2423 Williams Dr Ste 108 , Georgetown TX 78628-3269. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Soo, Peter C can be contacted via phone (877) 800-5722.

Contact Information

Primary practice address
2423 Williams Dr Ste 108 Georgetown TX 78628-3269
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X K0383 Texas

Profile Details

NPI number 1457430050
LBN Legal business name Soo, Peter C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Feb 25th, 2021 - about 4 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 1457430050 NPPES
Texas Other 0082KC BCBS OF TX
Texas Other 7982417 BCBS OF TX

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