Peterson, Pamela Marie

Peterson, Pamela Marie is an sole proprietor health care provider with primary practice located at 1220 Montgomery St , Custer SD 57730-1705. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Peterson, Pamela Marie can be contacted via phone (605) 673-9460.

Contact Information

Primary practice address
1220 Montgomery St Custer SD 57730-1705
Fax: (605) 673-3618
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1770244238
LBN Legal business name Peterson, Pamela Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2022
Last updated Jan 6th, 2022 - about 4 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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