Peterson, Charles John

Peterson, Charles John is an individual health care provider with primary practice located at 5301 E Grant Road Tucson Medical Center Emergency Department, Tucson AZ 85712-2805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Peterson, Charles John can be contacted via phone (520) 324-1922.

Contact Information

Primary practice address
5301 E Grant Road Tucson Medical Center Emergency Department Tucson AZ 85712-2805
Phone: (520) 324-1922
Fax: (520) 324-1088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 21030 Arizona

Profile Details

NPI number 1437234499
LBN Legal business name Peterson, Charles John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1437234499 NPPES
Arizona Other 150384 AHCCCS
Arizona MEDICAID 15038402 AHCCCS

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