Petersen, Kristin

Petersen, Kristin is an individual health care provider with primary practice located at 26246 Crane Rd , White Earth MN 56591-9998. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Petersen, Kristin can be contacted via phone (218) 983-4703.

Contact Information

Primary practice address
26246 Crane Rd White Earth MN 56591-9998
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 21218 Minnesota

Profile Details

NPI number 1710422779
LBN Legal business name Petersen, Kristin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2016
Last updated Dec 30th, 2016 - about 10 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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