Van, Peter

Van, Peter is an individual health care provider with primary practice located at 1970 N Highway 190 Suite 100, Covington LA 70433-5158. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Van, Peter can be contacted via phone (985) 867-8585.

Contact Information

Primary practice address
1970 N Highway 190 Suite 100 Covington LA 70433-5158
Phone: (985) 867-8585
Fax: (985) 867-3644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD.203954 Louisiana

Profile Details

NPI number 1134330400
LBN Legal business name Van, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Dec 23rd, 2014 - about 11 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 1134330400 NPPES
Mississippi MEDICAID 02774204
Mississippi MEDICAID 50962

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