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
Phone: (256) 265-3881
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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