Ganun, Peter

Ganun, Peter is an individual health care provider with primary practice located at 317 Western Blvd , Jacksonville NC 28546-6338. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Ganun, Peter can be contacted via phone (910) 577-2471.

Contact Information

Primary practice address
317 Western Blvd Jacksonville NC 28546-6338
Phone: (910) 577-2471
Fax: (910) 577-2634
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 181130 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 181130 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 306 North Carolina

Profile Details

NPI number 1861458648
LBN Legal business name Ganun, Peter
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Feb 1st, 2022 - about 4 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 1861458648 NPPES
North Carolina MEDICAID 6907604
North Carolina Other 562014989

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