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Contact Information

JOHN E PETERSON, DO
104 N 7 HIGHWAY
SUITE B
BLUE SPRINGS, MO64014
 Phone: 816-229-8880
 Fax: 816-229-4363
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOHN E PETERSON · (Male)

NPI # 1295728236
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/24/2005
Last updated 12/05/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MO License # DO36953
  • MO Other 2024981 AETNA
  • MO Other 15256101 BC/BS
Hospital affiliation(s)
  • CENTERPOINT MEDICAL CENTER OF INDEPENDENCE LLC - (Acute Care)
    19600 EAST 39TH STREET
    INDEPENDENCE, MO 64057
  • ST MARY'S MEDICAL CENTER - (Acute Care)
    201 NW R D MIZE RD
    BLUE SPRINGS, MO 64014
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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