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
Fax: (608) 663-0765
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518014372 NPPES
Wisconsin MEDICAID 39533200

Popular Providers