Petersen, Craig Scott

Petersen, Craig Scott is an individual health care provider with primary practice located at 2315 Stockton Blvd G 112, Sacramento CA 95817. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Petersen, Craig Scott can be contacted via phone (916) 703-3114.

Contact Information

Primary practice address
2315 Stockton Blvd G 112 Sacramento CA 95817
Phone: (916) 703-3114
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1467438283
LBN Legal business name Petersen, Craig Scott
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
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.

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