Petersen, Mark Alan
Petersen, Mark Alan is an sole proprietor health care provider with primary practice located at 533 Parnassus Ave Rm U-503 , San Francisco CA 94143-0734. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Petersen, Mark Alan can be contacted via phone (415) 476-1888.Contact Information
Primary practice address
533 Parnassus Ave Rm U-503
San Francisco CA 94143-0734
Phone: (415) 476-1888
Fax: (415) 476-6679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | A97116 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A97116 | California |
Profile Details
| NPI number | 1780871160 |
|---|---|
| LBN Legal business name | Petersen, Mark Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2007 |
| Last updated | Jan 29th, 2024 - about 2 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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