DR. Jon Fredrick Petersen M.D.

  • NPI 1285621516
According to our database, the NPI number for DR. Jon Fredrick Petersen M.D. is 1285621516 and activated since 18 years ago. DR. Jon Fredrick Petersen M.D. is an individual provider who specializes in Family Medicine, and the primary practice location is 1750 E Lake Shore Dr, Decatur, IL 62521. You can also contact DR. Jon Fredrick Petersen M.D. via telephone number is (217) 464-1440. Provider NPI information was last updated on 10/12/2016.

Recently Active NPIs

Overview of DR. Jon Fredrick Petersen M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/03/2005
  • Last updated: 10/12/2016

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 036129728
  • License State: IL

Provider Mailing Address

  • Address: 1750 E Lake Shore Dr
    Decatur, IL 62521
  • Phone: 217-464-1440
  • Fax: 217-464-1469

Provider Practice Location

  • Address: 1750 E Lake Shore Dr
    Decatur, IL 62521
  • Phone: 217-464-1440
  • Fax: 217-464-1469

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 036129728
  • License State: IL
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 250766
  • Identifier Type: Other
  • Identifier State:
  • Issuer: HEALTHLINK

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Jon Fredrick Petersen M.D.?
  • A: The npi number for DR. Jon Fredrick Petersen M.D. is 1285621516.
  • Q: What are DR. Jon Fredrick Petersen M.D.'s specialties?
  • A: DR. Jon Fredrick Petersen M.D.'s specialties are Family Medicine and different specialities.
  • Q: What is the medical license for DR. Jon Fredrick Petersen M.D.?
  • A: The medical license number for DR. Jon Fredrick Petersen M.D. is 036129728 and issued in IL in USA.
  • Q: Where is DR. Jon Fredrick Petersen M.D. practice location?
  • A: DR. Jon Fredrick Petersen M.D. is practicing at 1750 E Lake Shore Dr, Decatur, IL 62521.
  • Q: How to contact DR. Jon Fredrick Petersen M.D.?
  • A: You can contact DR. Jon Fredrick Petersen M.D. via 217-464-1440.