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Contact Information

NICHOLAS PETERSON, CAA
36000 EUCLID AVE
WILLOUGHBY, OH44094-4625
 Phone: 440-953-9600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiologist Assistant

367H00000X 32 Anesthesiology Assistant
Indicates primary specialty

NPI Profile & details for NICHOLAS PETERSON · (Male)

NPI Number 1386297869
Status Active
Credentials CAA
Entity Individual
Enumeration date 07/23/2019
Last updated 05/06/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 67.000388
Hospital affiliation(s) Not Available
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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