Petersen, Halle
Petersen, Halle is an individual health care provider with primary practice located at 475 W 260 N , Orem UT 84057-1970. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Petersen, Halle can be contacted via phone (801) 221-9930.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1265152300 |
|---|---|
| LBN Legal business name | Petersen, Halle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2022 |
| Last updated | Aug 30th, 2022 - about 3 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 | 1265152300 | NPPES |
| Utah | MEDICAID | 1396085718 |
Popular Providers
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475 W 260 N , Orem UT 84057-1970