Peterson, Joel Nicholas

Peterson, Joel Nicholas is an sole proprietor health care provider with primary practice located at 200 Mercy Circle , Oceanside CA 92055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Peterson, Joel Nicholas can be contacted via phone (760) 719-3312.

Contact Information

Primary practice address
200 Mercy Circle Oceanside CA 92055
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X C151654 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C151654 California

Profile Details

NPI number 1437143997
LBN Legal business name Peterson, Joel Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2005
Last updated Jul 21st, 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 1437143997 NPPES
New Hampshire Other 16130 MEDICAL LICENSE
New Hampshire Other C151654 MEDICAL LICENSE

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