Peterson, Kristin
Peterson, Kristin is an individual health care provider with primary practice located at 3205 N Academy Blvd Suite 100, Colorado Springs CO 80917-5101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Peterson, Kristin can be contacted via phone (719) 632-5700.Contact Information
Primary practice address
3205 N Academy Blvd Suite 100
Colorado Springs CO 80917-5101
Phone: (719) 632-5700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1148 | Colorado |
Profile Details
| NPI number | 1699747295 |
|---|---|
| LBN Legal business name | Peterson, Kristin |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Apr 4th, 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 | 1699747295 | NPPES |
| Colorado | MEDICAID | 55431763 |
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