Madrazo-Peterson, Rita
Madrazo-Peterson, Rita is an sole proprietor health care provider with primary practice located at 1502 W Nc Highway 54 Suite 505, Durham NC 27707-5571. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Madrazo-Peterson, Rita can be contacted via phone (919) 932-1680.Contact Information
Primary practice address
1502 W Nc Highway 54 Suite 505
Durham NC 27707-5571
Phone: (919) 932-1680
Fax: (919) 960-5126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 2953 | North Carolina |
Profile Details
| NPI number | 1528084159 |
|---|---|
| LBN Legal business name | Madrazo-Peterson, Rita |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Jul 8th, 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 | 1528084159 | NPPES |
| North Carolina | MEDICAID | 6000411 | |
| North Carolina | Other | 74982851 | |
| North Carolina | Other | 133885 | |
| North Carolina | Other | 331072 | |
| North Carolina | Other | 133885 | |
| North Carolina | Other | 14214800 | |
| North Carolina | Other | 0451U | |
| North Carolina | Other | 230304 | |
| North Carolina | Other | 4619612 |
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