Petersen, Carlotta
Petersen, Carlotta is an individual health care provider with primary practice located at 500 W Main St Ste 200 , Lewisville TX 75057-3639. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Petersen, Carlotta can be contacted via phone (877) 314-8990.Contact Information
Primary practice address
500 W Main St Ste 200
Lewisville TX 75057-3639
Phone: (877) 314-8990
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA00598 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00598 | Texas |
Profile Details
NPI number | 1417288911 |
---|---|
LBN Legal business name | Petersen, Carlotta |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 22nd, 2010 |
Last updated | Jan 6th, 2022 - about 2 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.
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