Petersen, Matthew D.

Petersen, Matthew D. is an individual health care provider with primary practice located at 11704 W Center Rd Ste 200 , Omaha NE 68144-4327. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Petersen, Matthew D. can be contacted via phone (402) 691-0500.

Contact Information

Primary practice address
11704 W Center Rd Ste 200 Omaha NE 68144-4327
Phone: (402) 691-0500
Fax: (402) 691-1586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X

Profile Details

NPI number 1477607083
LBN Legal business name Petersen, Matthew D.
Credentials Surgical Technician (ST)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 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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