Peterson, Bridget Ione

Peterson, Bridget Ione is an individual health care provider with primary practice located at 34 Maple St , Norwalk CT 06850-3815. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Peterson, Bridget Ione can be contacted via phone (203) 852-2188.

Contact Information

Primary practice address
34 Maple St Norwalk CT 06850-3815
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 001806 Connecticut

Profile Details

NPI number 1063514628
LBN Legal business name Peterson, Bridget Ione
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2006
Last updated Dec 8th, 2010 - about 14 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 1063514628 NPPES
Connecticut Other 001806 LICENSE NUMBER

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