Petersen, Steven J
Petersen, Steven J is an individual health care provider with primary practice located at 874 Preservation Cir , Pawleys Island SC 29585-8340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Petersen, Steven J can be contacted via phone (920) 217-9708.Contact Information
Primary practice address
874 Preservation Cir
Pawleys Island SC 29585-8340
Phone: (920) 217-9708
Fax: (920) 217-9708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 45500 | Wisconsin |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 40029 | South Carolina |
Profile Details
| NPI number | 1619997798 |
|---|---|
| LBN Legal business name | Petersen, Steven J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Dec 13th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619997798 | NPPES |
| Wisconsin | MEDICAID | 34360900 |
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