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Contact Information

RENE' A PETERSON, DPM LLC
35202 ATLANTIC AVE
MILLVILLE, DE19967
 Phone: 302-541-0323
 Fax: 302-539-8736
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for RENE' A PETERSON, DPM LLC

NPI # 1003387291
LBN Legal business name RENE' A PETERSON, DPM LLC
Authorized official RENE' PETERSON - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 12/16/2018
Last updated 12/16/2018 - About 7 years ago
Identifiers
DE Medicaid 000957915
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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