Petersen, Lyn-Isha L

Petersen, Lyn-Isha L is an individual health care provider with primary practice located at 522 N Center St , Statesville NC 28677-4082. 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, Lyn-Isha L can be contacted via phone (252) 664-9054.

Contact Information

Primary practice address
522 N Center St Statesville NC 28677-4082
Phone: (252) 664-9054
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1760251508
LBN Legal business name Petersen, Lyn-Isha L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2023
Last updated Dec 21st, 2023 - about 2 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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