Peter, Elvis A

Peter, Elvis A is an individual health care provider with primary practice located at 3501 Cranberry Blvd , Weston WI 54476-5213. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Peter, Elvis A can be contacted via phone (715) 393-1229.

Contact Information

Primary practice address
3501 Cranberry Blvd Weston WI 54476-5213
Phone: (715) 393-1229
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44842 Wisconsin
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 44842 Wisconsin

Profile Details

NPI number 1689779266
LBN Legal business name Peter, Elvis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Mar 31st, 2021 - about 5 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 1689779266 NPPES
Wisconsin MEDICAID 34298300

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