Anderson, Peter

Anderson, Peter is an individual health care provider with primary practice located at 3444 Wisconsin Ave , Vicksburg MS 39180-5331. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Anderson, Peter can be contacted via phone (601) 638-0031.

Contact Information

Primary practice address
3444 Wisconsin Ave Vicksburg MS 39180-5331
Phone: (601) 638-0031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1417335118
LBN Legal business name Anderson, Peter
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2015
Last updated May 13th, 2015 - about 10 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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