Dr. John M Peterson
Neuromusculoskeletal Medicine (NMM)
72 Barre St
Montpelier
, Vermont 05602-3508
Dr. John M Peterson
Neuromusculoskeletal Medicine (NMM)
72 Barre St
Montpelier
, Vermont 05602-3508
(802) 229-5619
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Dr. John M Peterson
- 72 Barre St
- Montpelier, VT
- Zip : 05602-3508
- Fax : (802) 229-5619
- Phone : (802) 229-9418
Second Address
- Dr. John M Peterson
- 72 Barre St
- Montpelier, VT
- Zip : 05602-3508
- Fax : (802) 229-5619
- Phone : (802) 229-9418
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Is Dr. John M Peterson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 032-0000291 | VT |
National Provider Identifier
| NPI | 1154404226 |
|---|---|
| Provider Name | Dr. John M Peterson |
| First Address | Montpelier, VT 05602-3508 |
| Second Address | Montpelier, VT 05602-3508 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0006153 | (05) | VT |
| 6153 | BC/BS (01) | VT |
| D77545 | (02) | VT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.