Peterson, Richard Edward
Peterson, Richard Edward is an individual health care provider with primary practice located at 500 Upper Chesapeake Dr , Bel Air MD 21014-4324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Peterson, Richard Edward can be contacted via phone (410) 420-7630.Contact Information
Primary practice address
500 Upper Chesapeake Dr
Bel Air MD 21014-4324
Phone: (410) 420-7630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | D0059072 | Maryland |
Profile Details
| NPI number | 1174566269 |
|---|---|
| LBN Legal business name | Peterson, Richard Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Aug 24th, 2010 - about 16 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 | 1174566269 | NPPES |
| Maryland | MEDICAID | 154631701 |
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