Peterson, Robert Lester
Peterson, Robert Lester is an individual health care provider with primary practice located at 900 Riverside Dr Suite Iii, Waupaca WI 54981-1983. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peterson, Robert Lester can be contacted via phone (715) 258-8898.Contact Information
Primary practice address
900 Riverside Dr Suite Iii
Waupaca WI 54981-1983
Phone: (715) 258-8898
Fax: (715) 258-6980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19601 | Wisconsin |
Profile Details
| NPI number | 1720144876 |
|---|---|
| LBN Legal business name | Peterson, Robert Lester |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 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 | 1720144876 | NPPES |
| Wisconsin | Other | 19601 | LICENSE |
| Wisconsin | MEDICAID | 31229100 | LICENSE |
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