Peters, Mark Dewitt

Peters, Mark Dewitt is an sole proprietor health care provider with primary practice located at 1600 N 2Nd St , Clinton MO 64735-1192. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Peters, Mark Dewitt can be contacted via phone (660) 885-5511.

Contact Information

Primary practice address
1600 N 2Nd St Clinton MO 64735-1192
Phone: (660) 885-5511
Fax: (660) 885-6279
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 043372 Missouri

Profile Details

NPI number 1386841591
LBN Legal business name Peters, Mark Dewitt
Credentials RPH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2007
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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