Wiltse, Peter John

Wiltse, Peter John is an individual health care provider with primary practice located at 3608 Preston Rd Ste 150, Plano TX 75093-8655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wiltse, Peter John can be contacted via phone (972) 566-4040.

Contact Information

Primary practice address
3608 Preston Rd Ste 150 Plano TX 75093-8655
Fax: (972) 769-0884
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G8514 Texas

Profile Details

NPI number 1699770552
LBN Legal business name Wiltse, Peter John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated May 31st, 2013 - 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 1699770552 NPPES
Texas Other 8R5383 BLUE CROSS
Texas MEDICAID 032033502 BLUE CROSS

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