Petersen, Eric N
Petersen, Eric N is an sole proprietor health care provider with primary practice located at 1233 Shelburne Rd Ste C4 , South Burlington VT 05403-7780. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Petersen, Eric N can be contacted via phone (802) 392-0405.Contact Information
Primary practice address
1233 Shelburne Rd Ste C4
South Burlington VT 05403-7780
Phone: (802) 392-0405
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 047.0133672 | Vermont |
Profile Details
| NPI number | 1225679814 |
|---|---|
| LBN Legal business name | Petersen, Eric N |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2019 |
| Last updated | Oct 4th, 2019 - about 7 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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