Eric Evan Petterson in Mahanoy City - Internal Medicine
Eric Evan Petterson - NPI 1245269547
Eric Evan Petterson is a Internal Medicine in Mahanoy City, Pennsylvania. Eric Evan Petterson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Eric Evan Petterson is 1245269547. The last update date is 2023-11-11.
Eric Evan Petterson's current location address is 411 W Pine St, Mahanoy City, Pennsylvania. You can contact this provider via phone number 5704621040 and fax number 5704621042. The mailing address for Eric Evan Petterson is 411 W Pine St, Mahanoy City, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Eric Evan Petterson |
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Address | 411 W Pine St, Mahanoy City, Pennsylvania |
Phone Number | 5704621040 |
Fax Number | 5704621042 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1245269547 |
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Provider Enumeration Date | 2006-07-01 |
Last Updated Date | 2023-11-11 |
Provider Mailing Address Detail
Address | 411 W Pine St |
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City | Mahanoy City |
State | Pennsylvania (PA) |
Post Code | 179482515 |
Phone Number | 5704621040 |
Fax Number | 5704621042 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | MD039636L |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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10036980010 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Eric Evan Petterson by the Centers for Medicare & Medicaid Services?
The Eric Evan Petterson has been assigned the NPI (National Provider Identifier) 1245269547 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Eric Evan Petterson's facilities are geographically located?
The facilities of Eric Evan Petterson are physically situated at the following location: 411 W Pine St, Mahanoy City, PA, 179482515.
What is Eric Evan Petterson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Eric Evan Petterson is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
When was the Eric Evan Petterson's 1245269547 issued?
The Eric Evan Petterson's 1245269547 was issued on 2006-07-01.
As of what date were the Eric Evan Petterson's details last updated?
The information pertaining to the Eric Evan Petterson, including its address, specialty, and other details, was most recently updated on 2023-11-11.