Paulson, Peter L

Paulson, Peter L is an sole proprietor health care provider with primary practice located at 1465 East Village Parkway , Mount Zion IL 62549. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Paulson, Peter L can be contacted via phone (217) 864-9318.

Contact Information

Primary practice address
1465 East Village Parkway Mount Zion IL 62549
Phone: (217) 864-9318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.016569 Illinois
Dental Providers / General Practice 1223G0001X 019016569 Illinois

Profile Details

NPI number 1124160247
LBN Legal business name Paulson, Peter L
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Apr 25th, 2012 - about 14 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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