Peterkin, Tyrone
Peterkin, Tyrone is an sole proprietor health care provider with primary practice located at 2261 Elm St Napa, Napa CA 94559-3721. 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. Peterkin, Tyrone can be contacted via phone (707) 253-6049.Contact Information
Primary practice address
2261 Elm St Napa
Napa CA 94559-3721
Phone: (707) 253-6049
Fax: (707) 259-8716
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | P0509011605 | California |
Profile Details
NPI number | 1992825590 |
---|---|
LBN Legal business name | Peterkin, Tyrone |
Credentials | RAS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 29th, 2007 |
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 | 1992825590 | NPPES |
California | Other | P0509011605 | RAS |
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