Peller, Richard J

Peller, Richard J is an individual health care provider with primary practice located at 1421 Premier Dr Mankato Clinic, Mankato MN 56001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peller, Richard J can be contacted via phone (507) 625-1811.

Contact Information

Primary practice address
1421 Premier Dr Mankato Clinic Mankato MN 56001
Phone: (507) 625-1811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35968 Minnesota

Profile Details

NPI number 1013996941
LBN Legal business name Peller, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 15th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013996941 NPPES
Other 41084933956001C107 CHAMPUS
Other 1666857 CHAMPUS
MEDICAID 789317500 CHAMPUS
Other 0110346 CHAMPUS
Other 080083832 CHAMPUS
Other HP25859 CHAMPUS
Other 115901 CHAMPUS
Other 18A65PE CHAMPUS
Other NA2951023850 CHAMPUS

Popular Providers