Petersen, Baley
Petersen, Baley is an individual health care provider with primary practice located at 966 Houston Northcutt Blvd Suite D, Mount Pleasant SC 29464-3487. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Petersen, Baley can be contacted via phone (843) 881-2492.Contact Information
Primary practice address
966 Houston Northcutt Blvd Suite D
Mount Pleasant SC 29464-3487
Phone: (843) 881-2492
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1741 | South Carolina |
Profile Details
| NPI number | 1043569858 |
|---|---|
| LBN Legal business name | Petersen, Baley |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2012 |
| Last updated | Aug 7th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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