Peterson, Eric

Peterson, Eric is an individual health care provider with primary practice located at 777 Bannock St Vc 1914, Denver CO 80204-4507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peterson, Eric can be contacted via phone (303) 436-6000.

Contact Information

Primary practice address
777 Bannock St Vc 1914 Denver CO 80204-4507
Phone: (303) 436-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38189 Colorado

Profile Details

NPI number 1639179989
LBN Legal business name Peterson, Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated May 13th, 2012 - about 14 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 1639179989 NPPES
New Mexico MEDICAID N9963

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