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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780886192 | NPPES |
| Other | BP1-0018276 | INSTITUTIONAL PERMIT |
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