Petterson, Jon Eric

Petterson, Jon Eric is an individual health care provider with primary practice located at 3175 Pocahontas Rd , Baker City OR 97814-1434. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Petterson, Jon Eric can be contacted via phone (541) 523-4415.

Contact Information

Primary practice address
3175 Pocahontas Rd Baker City OR 97814-1434
Phone: (541) 523-4415
Fax: (541) 523-2399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD11174 Oregon

Profile Details

NPI number 1699709253
LBN Legal business name Petterson, Jon Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699709253 NPPES
Oregon MEDICAID 227616
Oregon MEDICAID 219170
Oregon Other MD11174

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