Peterson, Daniel T

Peterson, Daniel T is an individual health care provider with primary practice located at 3200 E Racine St , Janesville WI 53546-2343. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Peterson, Daniel T can be contacted via phone (608) 371-8000.

Contact Information

Primary practice address
3200 E Racine St Janesville WI 53546-2343
Phone: (608) 371-8000
Fax: (608) 371-8942
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 21306-020 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21306-020 Wisconsin

Profile Details

NPI number 1134163850
LBN Legal business name Peterson, Daniel T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Nov 30th, 2013 - about 13 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 1134163850 NPPES
Wisconsin MEDICAID 30127100
Wisconsin Other 1042

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