Peters, David Kellogg
Peters, David Kellogg is an sole proprietor health care provider with primary practice located at 36 S Brooks St Wisconsin Pathologists, Sc, Madison WI 53715-1304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Peters, David Kellogg can be contacted via phone (608) 826-2663.Contact Information
Primary practice address
36 S Brooks St Wisconsin Pathologists, Sc
Madison WI 53715-1304
Phone: (608) 826-2663
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 39132-020 | Wisconsin |
Profile Details
| NPI number | 1205807831 |
|---|---|
| LBN Legal business name | Peters, David Kellogg |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205807831 | NPPES |
| Wisconsin | MEDICAID | 327-02900 |
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