Peterson, David William
Peterson, David William is an individual health care provider with primary practice located at 32 Physician Dr , Clyde NC 28721-8486. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Peterson, David William can be contacted via phone (828) 564-9222.Contact Information
Primary practice address
32 Physician Dr
Clyde NC 28721-8486
Phone: (828) 564-9222
Fax: (828) 564-9228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 9801441 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 132483 | North Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 132483 | North Carolina |
Profile Details
| NPI number | 1942307301 |
|---|---|
| LBN Legal business name | Peterson, David William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Sep 5th, 2023 - about 3 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 | 1942307301 | NPPES |
| North Carolina | MEDICAID | 89126HP |
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