Carol E. Peterson, Md Plc, NPI 1053500413
Hematology & Oncology Physician in Free Soil, MI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1053500413 |
| NPI Entity Type | Organization |
| Provider Name | Carol E. Peterson, Md Plc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 6050 N Us Highway 31, Free Soil, MI, US |
| Provider Mailing Address | 6050 N Us Highway 31, Free Soil, MI, US, 494119157 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MRS. CPC Heather Ryan Boerema |
| Official Position | PATIENT ACCOUNTS MANAGER |
| Phone | 231-757-1260 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Hematology & Oncology Physician |
| Classification | |
| Group | |
| License No. | 4301050870 |
| License State | MI |
| Description | 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 obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 0531035 | MI | BLUE CROSS BLUS SHIELD | 01 |
| 4831985 | MI | MEDICAID | 05 |
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