Peterson, Eric

Peterson, Eric is an sole proprietor health care provider with primary practice located at 1611 County Road B W Ste 214 , Roseville MN 55113-4053. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Peterson, Eric can be contacted via phone (612) 412-4873.

Contact Information

Primary practice address
1611 County Road B W Ste 214 Roseville MN 55113-4053
Phone: (612) 412-4873
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 305906 Minnesota

Profile Details

NPI number 1598342503
LBN Legal business name Peterson, Eric
Credentials MA, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2021
Last updated Mar 25th, 2021 - about 5 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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