Petersen, Eric J
Petersen, Eric J is an individual health care provider with primary practice located at 205 E Toronto Ave , Mcallen TX 78503-1209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Petersen, Eric J can be contacted via phone (956) 687-6155.Contact Information
Primary practice address
205 E Toronto Ave
Mcallen TX 78503-1209
Phone: (956) 687-6155
Fax: (956) 618-0451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 43275 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD 60036832 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 7333423-1205 | Utah |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ML 20009169 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | N8336 | Texas |
Profile Details
| NPI number | 1184890543 |
|---|---|
| LBN Legal business name | Petersen, Eric J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2008 |
| Last updated | Jul 12th, 2016 - about 10 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 | 1184890543 | NPPES |
| Texas | Other | N8336 | MEDICAL LICENSE |
| Texas | Other | 7333423-1205 | MEDICAL LICENSE |
| Texas | Other | MD 60036832 | MEDICAL LICENSE |
| Texas | Other | 20009169 | MEDICAL LICENSE |
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