Johansen, Peter Burnett

Johansen, Peter Burnett is an individual health care provider with primary practice located at 100 Freeman Dr , Saint Peter MN 56082-3504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Johansen, Peter Burnett can be contacted via phone (507) 931-7100.

Contact Information

Primary practice address
100 Freeman Dr Saint Peter MN 56082-3504
Phone: (507) 931-7100
Fax: (507) 931-7220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 21413 Minnesota

Profile Details

NPI number 1205814514
LBN Legal business name Johansen, Peter Burnett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205814514 NPPES
Minnesota Other 32F28JO BC/BS MPIN

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