Petersen, Christopher A

Petersen, Christopher A is an individual health care provider with primary practice located at 22 Northeast Dr , Hershey PA 17033-2732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Petersen, Christopher A can be contacted via phone (717) 531-8338.

Contact Information

Primary practice address
22 Northeast Dr Hershey PA 17033-2732
Fax: (717) 531-6250
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD057554L Pennsylvania

Profile Details

NPI number 1447204573
LBN Legal business name Petersen, Christopher A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Apr 14th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447204573 NPPES
Pennsylvania MEDICAID 0015606000003

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