Peterman, Ebony White
Peterman, Ebony White is an sole proprietor health care provider with primary practice located at 241 Mclaws Cir Ste 105 , Williamsburg VA 23185-5861. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as her primary health care specialty. Peterman, Ebony White can be contacted via phone (757) 503-9665.Contact Information
Primary practice address
241 Mclaws Cir Ste 105
Williamsburg VA 23185-5861
Phone: (757) 503-9665
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation | 225XP0019X | 0119004514 | Virginia |
Profile Details
| NPI number | 1306555073 |
|---|---|
| LBN Legal business name | Peterman, Ebony White |
| Credentials | OTR/L, CLT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2022 |
| Last updated | Nov 21st, 2022 - about 3 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 | 1306555073 | NPPES |
| Virginia | Other | 0119004514 | VIRGINIA LICENSE |
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