Peterson, Gloria Lynn

Peterson, Gloria Lynn is an individual health care provider with primary practice located at 610 S Lincoln Rd , Escanaba MI 49829-1215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Peterson, Gloria Lynn can be contacted via phone (906) 786-6488.

Contact Information

Primary practice address
610 S Lincoln Rd Escanaba MI 49829-1215
Phone: (906) 786-6488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601005854 Michigan

Profile Details

NPI number 1134435209
LBN Legal business name Peterson, Gloria Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2010
Last updated Jul 12th, 2023 - about 3 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 1134435209 NPPES
Other 1094325 NCCPA

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