Petersen, Katharine
Petersen, Katharine is an individual health care provider with primary practice located at 7777 Forest Ln , Dallas TX 75230-2505. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Petersen, Katharine can be contacted via phone (972) 566-2667.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | L9427 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | L9427 | Texas |
Profile Details
| NPI number | 1295714798 |
|---|---|
| LBN Legal business name | Petersen, Katharine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Apr 12th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295714798 | NPPES |
| Texas | Other | 173055811 | CSHCN |
| Texas | Other | 8S2685 | CSHCN |
| Texas | MEDICAID | 173055803 | CSHCN |
| Texas | MEDICAID | 173055804 | CSHCN |
| Texas | Other | 0033PT | CSHCN |
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