Peterson, Gilman P.
Peterson, Gilman P. is an individual health care provider with primary practice located at 109 Bravo Blvd , Glasgow KY 42141-3412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Peterson, Gilman P. can be contacted via phone (270) 651-8328.Contact Information
Primary practice address
109 Bravo Blvd
Glasgow KY 42141-3412
Phone: (270) 651-8328
Fax: (270) 651-1731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 20017 | Kentucky |
Profile Details
| NPI number | 1689637993 |
|---|---|
| LBN Legal business name | Peterson, Gilman P. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2006 |
| Last updated | Sep 18th, 2014 - about 12 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 | 1689637993 | NPPES |
| Kentucky | MEDICAID | 64200173 |
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