Pettersen, Linda Carter
Pettersen, Linda Carter is an sole proprietor health care provider with primary practice located at 5900 Monona Dr Suite 100, Monona WI 53716-3554. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pettersen, Linda Carter can be contacted via phone (608) 663-0763.Contact Information
Primary practice address
5900 Monona Dr Suite 100
Monona WI 53716-3554
Phone: (608) 663-0763
Fax: (608) 663-0765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2547-123 | Wisconsin |
Profile Details
| NPI number | 1518014372 |
|---|---|
| LBN Legal business name | Pettersen, Linda Carter |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | May 8th, 2014 - about 12 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 | 1518014372 | NPPES |
| Wisconsin | MEDICAID | 39533200 |
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