Peterson, Gary D
Peterson, Gary D is an individual health care provider with primary practice located at 938 2Nd Ave W , Dickinson ND 58601-3916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Peterson, Gary D can be contacted via phone (701) 456-6000.Contact Information
Primary practice address
938 2Nd Ave W
Dickinson ND 58601-3916
Phone: (701) 456-6000
Fax: (701) 323-5709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 7827 | North Dakota |
Profile Details
| NPI number | 1821180050 |
|---|---|
| LBN Legal business name | Peterson, Gary D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Sep 11th, 2007 - about 19 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 | 1821180050 | NPPES |
| North Dakota | MEDICAID | 10421 |
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