Petersen, Gregory
Petersen, Gregory is an individual health care provider with primary practice located at 2017 Jefferson St Sw , Roanoke VA 24014-2419. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Petersen, Gregory can be contacted via phone (540) 981-7097.Contact Information
Primary practice address
2017 Jefferson St Sw
Roanoke VA 24014-2419
Phone: (540) 981-7097
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810-002774 | Virginia |
Profile Details
| NPI number | 1275509804 |
|---|---|
| LBN Legal business name | Petersen, Gregory |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| 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.
Popular Providers
-
Helmer, Tracy Lyn
3247 Electric Rd Suite 1-A, Roanoke VA 24018-6448 -
Berger, Jeanne B
1315 2Nd St Sw Suite 201, Roanoke VA 24016-4944 -
Leahy, Jerry Patrick
3371 Melody Ave , Roanoke VA 24018-3115 -
Seidel, Richard
2017 Jefferson St Sw , Roanoke VA 24014-2419 -
Rogers, Samuel
2840 Electric Rd Ste 200 , Roanoke VA 24018-3551 -
Perrott, Louis Anthony
3635 Manassas Dr , Roanoke VA 24018-4031 -
Gieck, Donald Joseph
2017 S Jefferson St , Roanoke VA 24014 -
Mariano, Tomas
213 Mcclanahan St Sw , Roanoke VA 24014-1762