Van, Peter
Van, Peter is an individual health care provider with primary practice located at 1970 N Highway 190 Suite 100, Covington LA 70433-5158. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Van, Peter can be contacted via phone (985) 867-8585.Contact Information
Primary practice address
1970 N Highway 190 Suite 100
Covington LA 70433-5158
Phone: (985) 867-8585
Fax: (985) 867-3644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD.203954 | Louisiana |
Profile Details
| NPI number | 1134330400 |
|---|---|
| LBN Legal business name | Van, Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Dec 23rd, 2014 - about 12 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 | 1134330400 | NPPES |
| Mississippi | MEDICAID | 02774204 | |
| Mississippi | MEDICAID | 50962 |
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