Peterson, Carol Camille
Peterson, Carol Camille is an individual health care provider with primary practice located at 505 S 12Th Ave W , Virginia MN 55792-3099. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Peterson, Carol Camille can be contacted via phone (218) 749-2877.Contact Information
Primary practice address
505 S 12Th Ave W
Virginia MN 55792-3099
Phone: (218) 749-2877
Fax: (218) 749-6033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 300222 | Minnesota |
Profile Details
| NPI number | 1255858510 |
|---|---|
| LBN Legal business name | Peterson, Carol Camille |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2017 |
| Last updated | Jul 21st, 2022 - about 2 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.
Popular Providers
-
Passeri, Anna
603 9Th St N , Virginia MN 55792-2319 -
Vaida, Jeris Jean
505 S 12Th Ave W , Virginia MN 55792-3099 -
Spolarich, Danielle Rae
505 S 12Th Ave W , Virginia MN 55792-3099 -
Golen, Gregory Edward
505 S 12Th Ave W , Virginia MN 55792-3099 -
Johnsen, Jane
505 12Th Ave West Suite 1, Virginia MN 55792 -
Scovell, Erin Monica
300 S 5Th Ave , Virginia MN 55792-2665 -
Kadet, Jeanne
5244 Lyngate Ct Suite 200, Burke VA 22015-1631 -
Abraham, Alan A
626 S 13Th St Detox Range Treatment Center, Virginia MN 55792