Petersen, Regina Lynn
Petersen, Regina Lynn is an individual health care provider with primary practice located at 145 Thunder Dr , Vista CA 92083-6010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Petersen, Regina Lynn can be contacted via phone (760) 630-5487.Contact Information
Primary practice address
145 Thunder Dr
Vista CA 92083-6010
Phone: (760) 630-5487
Fax: (760) 630-2558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA16911 | California |
Profile Details
| NPI number | 1770721714 |
|---|---|
| LBN Legal business name | Petersen, Regina Lynn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2009 |
| Last updated | Jan 28th, 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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