Vista, Jeff Peter
Vista, Jeff Peter is an individual health care provider with primary practice located at 2301 Erwin Rd Dumc 3096 , Durham NC 27710-3108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Vista, Jeff Peter can be contacted via phone (919) 681-0196.Contact Information
Primary practice address
2301 Erwin Rd Dumc 3096
Durham NC 27710-3108
Phone: (919) 681-0196
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | P1707 | Texas |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2013-00066 | North Carolina |
Profile Details
NPI number | 1750339883 |
---|---|
LBN Legal business name | Vista, Jeff Peter |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2006 |
Last updated | Jul 13th, 2023 - about last year |
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 | 1750339883 | NPPES |
New Mexico | MEDICAID | 42572070 | |
New Mexico | MEDICAID | 300347703 |
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