Bundgard, Peter Andrew
Bundgard, Peter Andrew is an sole proprietor health care provider with primary practice located at 100 Hospital Dr Walthall County General Hospital, Tylertown MS 39667-2022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bundgard, Peter Andrew can be contacted via phone (601) 876-2122.Contact Information
Primary practice address
100 Hospital Dr Walthall County General Hospital
Tylertown MS 39667-2022
Phone: (601) 876-2122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 15002 | Mississippi |
Profile Details
| NPI number | 1598784621 |
|---|---|
| LBN Legal business name | Bundgard, Peter Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1598784621 | NPPES |
| Mississippi | MEDICAID | 0117315 |
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