Individual
DR. ERIC EVAN PETTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 W PINE ST, MAHANOY CITY, PA 17948-2515
(570) 773-1101
(570) 773-1103
Mailing address
411 W PINE ST, MAHANOY CITY, PA 17948-2515
(570) 462-1040
(570) 462-1042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD039636L
PA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
MD039636L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010036980010
—
PA
Enumeration date
07/01/2006
Last updated
10/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us