Peterson, Gail

Peterson, Gail is an sole proprietor health care provider with primary practice located at 1400 N Wood Rd Milwood Executive Suites, Murphysboro IL 62966-6290. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Peterson, Gail can be contacted via phone (618) 529-4988.

Contact Information

Primary practice address
1400 N Wood Rd Milwood Executive Suites Murphysboro IL 62966-6290
Phone: (618) 529-4988
Fax: (618) 351-1419
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 071-002561 Illinois
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 2006006592 Missouri

Profile Details

NPI number 1629058904
LBN Legal business name Peterson, Gail
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2006
Last updated Jul 3rd, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629058904 NPPES
Illinois Other 27485 HEALTH ALLIANCE MEDICAL PLANS
Illinois Other 03972011 HEALTH ALLIANCE MEDICAL PLANS
Illinois Other 126480 HEALTH ALLIANCE MEDICAL PLANS

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