Petersen, Michael

Petersen, Michael is an individual health care provider with primary practice located at 1067 E Tabernacle St Suite 7, Saint George UT 84770-3163. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Petersen, Michael can be contacted via phone (801) 255-5131.

Contact Information

Primary practice address
1067 E Tabernacle St Suite 7 Saint George UT 84770-3163
Fax: (801) 255-5131
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1093182552
LBN Legal business name Petersen, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2015
Last updated Aug 31st, 2015 - about 9 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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