Peterson, Bradley S

Peterson, Bradley S is an sole proprietor health care provider with primary practice located at 2612 El Caminito , La Crescenta CA 91214-2963. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Hospital Units / Psychiatric Unit. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Peterson, Bradley S can be contacted via phone (914) 582-1905.

Contact Information

Primary practice address
2612 El Caminito La Crescenta CA 91214-2963
Phone: (914) 582-1905
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 221893 New York
Hospital Units / Psychiatric Unit 273R00000X 221893 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G130737 California

Profile Details

NPI number 1093868663
LBN Legal business name Peterson, Bradley S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Jan 13th, 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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