Petersen, Sam Richard

Petersen, Sam Richard is an individual health care provider with primary practice located at 201 Sivley Rd Sw Ste 500 , Huntsville AL 35801-5177. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Petersen, Sam Richard can be contacted via phone (256) 265-3881.

Contact Information

Primary practice address
201 Sivley Rd Sw Ste 500 Huntsville AL 35801-5177
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1-109909 Alabama

Profile Details

NPI number 1386900728
LBN Legal business name Petersen, Sam Richard
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2012
Last updated Apr 10th, 2012 - about 12 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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