Peterson, Michelle Dawn

Peterson, Michelle Dawn is an individual health care provider with primary practice located at 615 Washington St , Shelbyville KY 40065-1131. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Peterson, Michelle Dawn can be contacted via phone (502) 647-4668.

Contact Information

Primary practice address
615 Washington St Shelbyville KY 40065-1131
Phone: (502) 647-4668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3016901 Kentucky

Profile Details

NPI number 1871257741
LBN Legal business name Peterson, Michelle Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2021
Last updated Oct 27th, 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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