Petersen, Madison

Petersen, Madison is an sole proprietor health care provider with primary practice located at 2451 Fillingim St. , Mobile AL 36617-2238. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Petersen, Madison can be contacted via phone (251) 463-7082.

Contact Information

Primary practice address
2451 Fillingim St. Mobile AL 36617-2238
Phone: (251) 463-7082
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Alabama
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 41387 Alabama

Profile Details

NPI number 1790149169
LBN Legal business name Petersen, Madison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2016
Last updated Sep 16th, 2020 - about 6 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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