Joseph R Peters in Peoria - Emergency Medicine

Joseph R Peters - NPI 1639108129

Joseph R Peters is a Emergency Medicine in Peoria, Illinois. Joseph R Peters practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Joseph R Peters is 1639108129. The last update date is 2007-07-09.

Joseph R Peters's current location address is 530 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096552553 and fax number 3096552602. The mailing address for Joseph R Peters is 530 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Joseph R Peters
Address 530 Ne Glen Oak Ave, Peoria, Illinois
Phone Number 3096552553
Fax Number 3096552602
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1639108129
Provider Enumeration Date 2006-06-30
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 530 Ne Glen Oak Ave
City Peoria
State Illinois (IL)
Post Code 6163700010
Phone Number 3096552553
Fax Number 3096552602

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
800810 MEDICARE GROUP NO.

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FAQs about Joseph R Peters

What is the unique 10-digit identifier code issued to Joseph R Peters by the Centers for Medicare & Medicaid Services?

The Joseph R Peters has been assigned the NPI (National Provider Identifier) 1639108129 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Joseph R Peters located?

The Joseph R Peters is located at 530 Ne Glen Oak Ave, Peoria, IL 6163700010.

What is the Joseph R Peters's specialty and taxonomy code?

The Joseph R Peters's specialty is Emergency Medicine, and the corresponding taxonomy code is 207P00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1639108129 to Joseph R Peters?

The Centers for Medicare & Medicaid Services assigned the 1639108129 to Joseph R Peters on 2006-06-30.

When was the Joseph R Peters's information last updated?

The Joseph R Peters's information was last updated on 2007-07-09.

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