Petersen, Erika Anne

Petersen, Erika Anne is an individual health care provider with primary practice located at 4301 W Markham St Slot 507, Little Rock AR 72205-7101. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurological Surgery is her primary health care specialty. Petersen, Erika Anne can be contacted via phone (501) 686-5270.

Contact Information

Primary practice address
4301 W Markham St Slot 507 Little Rock AR 72205-7101
Phone: (501) 686-5270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X E-6628 Arkansas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1780886192
LBN Legal business name Petersen, Erika Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Jun 21st, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780886192 NPPES
Other BP1-0018276 INSTITUTIONAL PERMIT

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