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.
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