Petersen, Scott J.

Petersen, Scott J. is an individual health care provider with primary practice located at 275 W Macarthur Blvd , Oakland CA 94611-5641. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Petersen, Scott J. can be contacted via phone (510) 752-1000.

Contact Information

Primary practice address
275 W Macarthur Blvd Oakland CA 94611-5641
Phone: (510) 752-1000
Fax: (510) 620-9222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G066975 California

Profile Details

NPI number 1710034251
LBN Legal business name Petersen, Scott J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Dec 15th, 2021 - about 5 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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