Ankrom, Peter
Ankrom, Peter is an individual health care provider with primary practice located at 420 E 2Nd Ave Suite 103, Rome GA 30161-3224. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Ankrom, Peter can be contacted via phone (706) 509-3278.Contact Information
Primary practice address
420 E 2Nd Ave Suite 103
Rome GA 30161-3224
Phone: (706) 509-3278
Fax: (706) 509-4608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 041256 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 041256 | Georgia |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2255 | Tennessee |
Profile Details
| NPI number | 1013930478 |
|---|---|
| LBN Legal business name | Ankrom, Peter |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Oct 19th, 2016 - about 10 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 | 1013930478 | NPPES |
| Georgia | MEDICAID | 000702798J | |
| Georgia | Other | P00428756 | |
| Georgia | MEDICAID | 00702798B |
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