Petersen, Michael J
Petersen, Michael J is an individual health care provider with primary practice located at 3922 Mercy Dr , Mchenry IL 60050-3151. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Petersen, Michael J can be contacted via phone (815) 344-4499.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | Illinois |
Profile Details
| NPI number | 1518974153 |
|---|---|
| LBN Legal business name | Petersen, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518974153 | NPPES |
| Illinois | MEDICAID | 016002938 1 |
Popular Providers
-
Tighe, Christopher J
4225 Mayfield Rd Ste 103, South Euclid OH 44121-3037 -
Moran, Joseph M
210 Mound St , Lebanon OH 45036-1937 -
Schramm, Kathryn A
4913 Harroun Rd , Sylvania OH 43560-2197 -
Mazur, Mark J.
420 N James Rd , Columbus OH 43219-1834 -
Numbers, Alan H
5435 Bull Valley Rd. Suite 102, Mchenry IL 60050-2209 -
Aung, Barbara Jamila
6644 E Carondelet Dr , Tucson AZ 85710-2119 -
Thorud, Jakob Christopher
3922 Mercy Dr , Mchenry IL 60050-3179 -
Rootring, John
8280 Montgomery Rd Ste 103 , Cincinnati OH 45236-6101