Peters, Jacob Kenneth

Peters, Jacob Kenneth is an sole proprietor health care provider with primary practice located at 750 G Street , Reedley CA 93654. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Peters, Jacob Kenneth can be contacted via phone (559) 637-9818.

Contact Information

Primary practice address
750 G Street Reedley CA 93654
Phone: (559) 637-9818
Fax: (559) 637-9910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G33404 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X G33404 California

Profile Details

NPI number 1841411709
LBN Legal business name Peters, Jacob Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Dec 14th, 2009 - about 17 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 1841411709 NPPES
California MEDICAID 00G334041

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