Carol E. Peterson, Md Plc in Free Soil - Hematology & Oncology
Carol E. Peterson, Md Plc - NPI 1053500413
Carol E. Peterson, Md Plc is a Hematology & Oncology in Free Soil, Michigan. Carol E. Peterson, Md Plc practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Carol E. Peterson, Md Plc is 1053500413. The last update date is 2008-02-14.
Carol E. Peterson, Md Plc's current location address is 6050 N Us Highway 31, Free Soil, Michigan. You can contact this provider via phone number 2317571260 and fax number 2317571261. The mailing address for Carol E. Peterson, Md Plc is 6050 N Us Highway 31, Free Soil, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Carol E. Peterson, Md Plc |
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Address | 6050 N Us Highway 31, Free Soil, Michigan |
Phone Number | 2317571260 |
Fax Number | 2317571261 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PATIENT AC |
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Authorized Official Name | Boerema Ryan Heather |
Credentials | CPC |
Telephone Number | 2317571260 |
NPI Number Detail
NPI Number | 1053500413 |
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Provider Enumeration Date | 2007-10-22 |
Last Updated Date | 2008-02-14 |
Provider Mailing Address Detail
Address | 6050 N Us Highway 31 |
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City | Free Soil |
State | Michigan (MI) |
Post Code | 494119157 |
Phone Number | 2317571260 |
Fax Number | 2317571261 |
Provider's Primary Taxonomy Detail
Speciality | Hematology & Oncology |
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Taxonomy | 207Rh0003X |
Licence No | 4301050870 |
Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
531035 | MI | BLUE CROSS BLUS SHIELD | |
4831985 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carol E. Peterson, Md Plc by the Centers for Medicare & Medicaid Services?
The Carol E. Peterson, Md Plc has been issued the NPI (National Provider Identifier) 1053500413, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Carol E. Peterson, Md Plc is physically located?
The Carol E. Peterson, Md Plc is physically situated at the following address: 6050 N Us Highway 31, Free Soil, MI, 494119157.
What is the area of specialization for Carol E. Peterson, Md Plc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Carol E. Peterson, Md Plc is Hematology & Oncology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rh0003X.
On what date did Carol E. Peterson, Md Plc receive its 1053500413 assignment from the Centers for Medicare & Medicaid Services?
The Carol E. Peterson, Md Plc was assigned its 1053500413 on 2007-10-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Carol E. Peterson, Md Plc most recently updated or revised?
The details related to Carol E. Peterson, Md Plc, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-14.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY