Peterson, Kristen Marie
Peterson, Kristen Marie is an individual health care provider with primary practice located at 564 Burnside Dr , Tipp City OH 45371-3711. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Peterson, Kristen Marie can be contacted via phone (937) 838-5492.Contact Information
Primary practice address
564 Burnside Dr
Tipp City OH 45371-3711
Phone: (937) 838-5492
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | 400705210108 | Ohio |
Profile Details
| NPI number | 1104353556 |
|---|---|
| LBN Legal business name | Peterson, Kristen Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2017 |
| Last updated | May 16th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104353556 | NPPES |
| Ohio | MEDICAID | 0211289 |
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