Peterson, Kim A
Peterson, Kim A is an sole proprietor health care provider with primary practice located at 610 Nw 11Th St , Hermiston OR 97838-6601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Peterson, Kim A can be contacted via phone (541) 667-3439.Contact Information
Primary practice address
610 Nw 11Th St
Hermiston OR 97838-6601
Phone: (541) 667-3439
Fax: (541) 667-3414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | DO16339 | Oregon |
Profile Details
| NPI number | 1821028960 |
|---|---|
| LBN Legal business name | Peterson, Kim A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1821028960 | NPPES |
| Oregon | MEDICAID | 077920 |
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