Peretin, Stephen D
Peretin, Stephen D is an individual health care provider with primary practice located at 2333 Biddle Ave Henry Ford Wyandotte Hospital, Wyandotte MI 48192. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Peretin, Stephen D can be contacted via phone (734) 246-3781.Contact Information
Primary practice address
2333 Biddle Ave Henry Ford Wyandotte Hospital
Wyandotte MI 48192
Phone: (734) 246-3781
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Michigan | |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 02004904A | Indiana |
Profile Details
| NPI number | 1689930679 |
|---|---|
| LBN Legal business name | Peretin, Stephen D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2012 |
| Last updated | Sep 18th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689930679 | NPPES |
| Indiana | Other | 364430297 | MEDICARE PTAN |
| Indiana | MEDICAID | 201382880 | MEDICARE PTAN |
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