Peterson, Chad
Peterson, Chad is an individual health care provider with primary practice located at 114 E 800 N , Spanish Fork UT 84660-1209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Peterson, Chad can be contacted via phone (801) 794-1490.Contact Information
Primary practice address
114 E 800 N
Spanish Fork UT 84660-1209
Phone: (801) 794-1490
Fax: (801) 794-1495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4153 | Arizona |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 5457858-1204 | Utah |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 54578581204 | Utah |
Profile Details
| NPI number | 1821299751 |
|---|---|
| LBN Legal business name | Peterson, Chad |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2007 |
| Last updated | Dec 6th, 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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