Peterson, Celeste V

Peterson, Celeste V is an individual health care provider with primary practice located at 222 Oak St , Mountain City TN 37683-1526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Peterson, Celeste V can be contacted via phone (423) 727-6319.

Contact Information

Primary practice address
222 Oak St Mountain City TN 37683-1526
Phone: (423) 727-6319
Fax: (423) 727-4164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 827 Tennessee

Profile Details

NPI number 1942205349
LBN Legal business name Peterson, Celeste V
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jan 29th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942205349 NPPES
Tennessee MEDICAID 3300550
Tennessee Other 4085169

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