Peterson, Hugh

Peterson, Hugh is an individual health care provider with primary practice located at 550 S Jackson St , Louisville KY 40202-1622. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Peterson, Hugh can be contacted via phone (502) 562-6510.

Contact Information

Primary practice address
550 S Jackson St Louisville KY 40202-1622
Fax: (502) 562-6515
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19236 Kentucky
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 19236 Kentucky

Profile Details

NPI number 1881672574
LBN Legal business name Peterson, Hugh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Feb 13th, 2017 - about 9 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 1881672574 NPPES
Kentucky MEDICAID 64192362

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