Jan E Peterson II
Internist Nephrologist
2001 W 86th St
Indianapolis
, Indiana 46260-1902
Jan E Peterson II
Internist Nephrologist
2001 W 86th St
Indianapolis
, Indiana 46260-1902
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About
Features
Specialties
- Internist
- Nephrologist
Languages spoken
- English
Location
First Address
- Jan E Peterson II
- 10330 N Meridian St # 300
- Indianapolis, IN
- Zip : 46290-1024
- Phone :
Second Address
- Jan E Peterson II
- 2001 W 86th St
- Indianapolis, IN
- Zip : 46260-1902
- Phone : (317) 338-3634
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 01044172A | IN |
| Y | 111NI0900X | Internist | 01044172A | IN |
| N | 207RN0300X | Nephrologist | 01044172A | IN |
National Provider Identifier
| NPI | 1033165931 |
|---|---|
| Provider Name | Jan E Peterson II |
| First Address | Indianapolis, IN 46290-1024 |
| Second Address | Indianapolis, IN 46260-1902 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2006 |
| Last Update Date | 03/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000381516 | ANTHEM (01) | IN |
| 200052650 | (05) | IN |
| G10553 | (02) | IN |
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.