location
search-icon
person
Dr. Jack T Peterson JR., MD
Specialist in Topeka, Kansas
NPI 1508860487

Jack T Peterson JR. is a Specialist based in Topeka, KS. Jack T Peterson JR. practices in Topeka, KS and has the professional credentials of MD. The NPI Number for Jack T Peterson JR. is 1508860487 and holds a License No. 0422259 (Kansas).

The current practice location address for Jack T Peterson JR. is 631 Sw Horne St, Topeka, KS and can be reached out via phone at 785-234-9000 and via fax at 785-234-9119.

Location: 631 Sw Horne St, Topeka, KS, 66606-1661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508860487
Provider Name
Jack T Peterson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
631 Sw Horne St, Topeka, KS, 66606-1661
Phone Number
785-234-9000
Fax Number
785-234-9119
Provider Enumeration Date
06/09/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
240007246 01 KS RAILROAD MEDICARE
100516 01 KS BLUE CROSS
100144860B 05 KS
628770 01 KS FIRST GUARD
481191346 01 KS TAX ID
institution
Provider Business Practice Location Address Details
Address
631 Sw Horne St
City
Topeka
State
Kansas
Zip
66606-1661
Phone Number
785-234-9000
Fax Number
785-234-9119
person
Provider Business Mailing Address Details
Address
631 Sw Horne St
City
Topeka
State
Kansas
Zip
66606-1661
Phone Number
785-234-9000
Fax Number
785-234-9119
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0422259 (Kansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.