Petersen, Travis
Petersen, Travis is an individual health care provider with primary practice located at 835 Johns Hopkins Dr Suite B, Greenville NC 27834-7268. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as his primary health care specialty. Petersen, Travis can be contacted via phone (252) 752-7422.Contact Information
Primary practice address
835 Johns Hopkins Dr Suite B
Greenville NC 27834-7268
Phone: (252) 752-7422
Fax: (252) 752-5424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | C52140 |
Profile Details
| NPI number | 1164963278 |
|---|---|
| LBN Legal business name | Petersen, Travis |
| Credentials | BOCP, COA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2017 |
| Last updated | Mar 9th, 2017 - about 8 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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