Peters, Madeline Renee
Peters, Madeline Renee is an sole proprietor health care provider with primary practice located at 1415 Saint Francis Ave , Shakopee MN 55379-3374. She 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 / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Peters, Madeline Renee can be contacted via phone (952) 993-7750.Contact Information
Primary practice address
1415 Saint Francis Ave
Shakopee MN 55379-3374
Phone: (952) 993-7750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 76919 | Minnesota |
Profile Details
| NPI number | 1912580622 |
|---|---|
| LBN Legal business name | Peters, Madeline Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2021 |
| Last updated | Jul 23rd, 2024 - about 2 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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