Peterson, George William
Peterson, George William is an sole proprietor health care provider with primary practice located at 113 Main St , Newton NJ 07860-2037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peterson, George William can be contacted via phone (973) 383-0808.Contact Information
Primary practice address
113 Main St
Newton NJ 07860-2037
Phone: (973) 383-0808
Fax: (973) 383-3840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MB03775400 | New Jersey |
Profile Details
| NPI number | 1821182072 |
|---|---|
| LBN Legal business name | Peterson, George William |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 9th, 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 | 1821182072 | NPPES |
| New Jersey | MEDICAID | 2058201 |
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