Petersen, Timothy C

Petersen, Timothy C is an sole proprietor health care provider with primary practice located at 100 Constitution Dr Ste 217, Va Beach VA 23462-6799. He 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 / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Petersen, Timothy C can be contacted via phone (757) 963-1488.

Contact Information

Primary practice address
100 Constitution Dr Ste 217 Va Beach VA 23462-6799
Phone: (757) 963-1488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 0101260679 Virginia

Profile Details

NPI number 1639468887
LBN Legal business name Petersen, Timothy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2011
Last updated Jun 30th, 2016 - about 9 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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