Peterson, Adriane

Peterson, Adriane is an individual health care provider with primary practice located at 1450 Main St , Weaverville CA 96093-1099. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Peterson, Adriane can be contacted via phone (530) 623-1362.

Contact Information

Primary practice address
1450 Main St Weaverville CA 96093-1099
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X California

Profile Details

NPI number 1386373975
LBN Legal business name Peterson, Adriane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2022
Last updated Jun 8th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386373975 NPPES
California MEDICAID 53

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