Peterson, Justin Ross

Peterson, Justin Ross is an individual health care provider with primary practice located at 15301 Warren Shingle Rd Attn: Ken Winn, Credential Coordinator, Beale Afb CA 95903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Peterson, Justin Ross can be contacted via phone (530) 634-4662.

Contact Information

Primary practice address
15301 Warren Shingle Rd Attn: Ken Winn, Credential Coordinator Beale Afb CA 95903
Phone: (530) 634-4662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101259916 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 154828 California

Profile Details

NPI number 1174948012
LBN Legal business name Peterson, Justin Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2014
Last updated Jul 2nd, 2024 - about 2 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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