Peterson, Aaron Thomas
Peterson, Aaron Thomas is an individual health care provider with primary practice located at 4101 Wagon Trail Ave , Las Vegas NV 89118-4426. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Technologists, Technicians & Other Technical Service Providers / Radiography, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Peterson, Aaron Thomas can be contacted via phone (702) 942-4123.Contact Information
Primary practice address
4101 Wagon Trail Ave
Las Vegas NV 89118-4426
Phone: (702) 942-4123
Fax: (702) 942-4124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036116322 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 12283 | Nevada |
| Technologists, Technicians & Other Technical Service Providers / Radiography | 2471C3402X | A82742 | California |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 12283 | Nevada |
Profile Details
| NPI number | 1336126721 |
|---|---|
| LBN Legal business name | Peterson, Aaron Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Apr 30th, 2024 - about 2 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 | 1336126721 | NPPES |
| Other | P00440881 | RR MEDICARE | |
| MEDICAID | 1336126721 | RR MEDICARE |
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