Petersen, Denise

Petersen, Denise is an individual health care provider with primary practice located at 350 City View Dr Ste 302, Evanston WY 82930-5327. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Petersen, Denise can be contacted via phone (307) 789-7915.

Contact Information

Primary practice address
350 City View Dr Ste 302 Evanston WY 82930-5327
Fax: (307) 789-6009
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1801180153
LBN Legal business name Petersen, Denise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2011
Last updated Jun 3rd, 2011 - about 13 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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