Peters, Jon D

Peters, Jon D is an individual health care provider with primary practice located at 12007 Sunrise Valley Dr Suite 120, Reston VA 20191-3479. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Peters, Jon D can be contacted via phone (301) 624-5731.

Contact Information

Primary practice address
12007 Sunrise Valley Dr Suite 120 Reston VA 20191-3479
Phone: (301) 624-5731
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Virginia

Profile Details

NPI number 1689776106
LBN Legal business name Peters, Jon D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689776106 NPPES
District of Columbia Other 1505687000 US DOL WC
District of Columbia Other 45710002 US DOL WC
District of Columbia Other 223963 US DOL WC
District of Columbia Other 283598 US DOL WC
District of Columbia Other 4054667 US DOL WC
District of Columbia Other 505094 US DOL WC
District of Columbia Other 46389 US DOL WC
District of Columbia Other 53508702 US DOL WC
District of Columbia Other 0500039 US DOL WC
District of Columbia Other 46389 US DOL WC

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