Petersen, Mitchell

Petersen, Mitchell is an sole proprietor health care provider with primary practice located at 550 Vandalia St 175, Saint Paul MN 55114-1833. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Petersen, Mitchell can be contacted via phone (651) 313-6733.

Contact Information

Primary practice address
550 Vandalia St 175 Saint Paul MN 55114-1833
Phone: (651) 313-6733
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X

Profile Details

NPI number 1164962213
LBN Legal business name Petersen, Mitchell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2017
Last updated Mar 7th, 2017 - about 7 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.

Request for update

Popular Providers