Peterson, Terri L

Peterson, Terri L is an individual health care provider with primary practice located at 800 E 28Th St Suite 1750, Minneapolis MN 55407-3723. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Peterson, Terri L can be contacted via phone (612) 863-4495.

Contact Information

Primary practice address
800 E 28Th St Suite 1750 Minneapolis MN 55407-3723
Phone: (612) 863-4495
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 44051 Minnesota

Profile Details

NPI number 1831162635
LBN Legal business name Peterson, Terri L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Nov 10th, 2020 - about 6 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 1831162635 NPPES
Minnesota Other 15830 AVERA
Minnesota Other 23-00464 AVERA
Minnesota Other 519P3PE AVERA
Minnesota MEDICAID 723049 AVERA
Minnesota Other F68188 AVERA
Minnesota Other HP61594 AVERA
Minnesota MEDICAID 171903 AVERA
Minnesota Other B059 AVERA
Minnesota MEDICAID 732638600 AVERA
Minnesota Other MH9041047407 AVERA
Minnesota Other 52106 AVERA

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