Peterson, Erik Jon

Peterson, Erik Jon is an individual health care provider with primary practice located at 516 Delaware St Se Pwb Sixth Floor, Clinic 6A, Minneapolis MN 55455-0356. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Peterson, Erik Jon can be contacted via phone (612) 625-8690.

Contact Information

Primary practice address
516 Delaware St Se Pwb Sixth Floor, Clinic 6A Minneapolis MN 55455-0356
Phone: (612) 625-8690
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 45093 Minnesota
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 45093 Minnesota

Profile Details

NPI number 1619051869
LBN Legal business name Peterson, Erik Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Oct 26th, 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 1619051869 NPPES
Minnesota Other 32-00003 MEDICA PRIMARY
Minnesota Other 32-00093 MEDICA PRIMARY
Minnesota Other HP39455 MEDICA PRIMARY
Minnesota MEDICAID 090883500 MEDICA PRIMARY
Minnesota Other 244A6PE MEDICA PRIMARY
Minnesota Other 1686374 MEDICA PRIMARY
Minnesota Other 1031720 MEDICA PRIMARY
Minnesota Other 142412 MEDICA PRIMARY
Minnesota MEDICAID 34260300 MEDICA PRIMARY

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