Petersen, Beth Ann
Petersen, Beth Ann is an sole proprietor health care provider with primary practice located at 1511 Crescent St , Parkersburg WV 26101-6915. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Petersen, Beth Ann can be contacted via phone (304) 615-5116.Contact Information
Primary practice address
1511 Crescent St
Parkersburg WV 26101-6915
Phone: (304) 615-5116
Fax: (304) 485-5132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | Ohio |
Profile Details
| NPI number | 1801009709 |
|---|---|
| LBN Legal business name | Petersen, Beth Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1801009709 | NPPES |
| Ohio | MEDICAID | 2392656 |
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