Earl, Peter C

Earl, Peter C is an individual health care provider with primary practice located at 7194 Duval Ave , Gloucester VA 23061. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Earl, Peter C can be contacted via phone (423) 765-3645.

Contact Information

Primary practice address
7194 Duval Ave Gloucester VA 23061
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101-230521 Virginia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD43527 Tennessee

Profile Details

NPI number 1740256478
LBN Legal business name Earl, Peter C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Nov 20th, 2015 - 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 1740256478 NPPES
Virginia MEDICAID 1740256478

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