Stanley, Kate Peterson
Stanley, Kate Peterson is an individual health care provider with primary practice located at 1500 E Medical Center Dr , Ann Arbor MI 48109-5000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Stanley, Kate Peterson can be contacted via phone (734) 647-5299.Contact Information
Primary practice address
1500 E Medical Center Dr
Ann Arbor MI 48109-5000
Phone: (734) 647-5299
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301097528 | Michigan |
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 4301097528 | Michigan |
Profile Details
NPI number | 1912929571 |
---|---|
LBN Legal business name | Stanley, Kate Peterson |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 24th, 2006 |
Last updated | Sep 14th, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912929571 | NPPES |
Minnesota | MEDICAID | 680930800 | |
Minnesota | MEDICAID | 7708282 | |
Minnesota | MEDICAID | 12398 |
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