Clarkson, Peta
Clarkson, Peta is an sole proprietor health care provider with primary practice located at 825 N Washington St , Wilmington DE 19801-1509. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Clarkson, Peta can be contacted via phone (302) 655-7110.Contact Information
Primary practice address
825 N Washington St
Wilmington DE 19801-1509
Phone: (302) 655-7110
Fax: (302) 655-6185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | C1-0007596 | Delaware |
Profile Details
| NPI number | 1588792501 |
|---|---|
| LBN Legal business name | Clarkson, Peta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1588792501 | NPPES |
| Delaware | MEDICAID | 1000037785 |
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