Peterson, Chad

Peterson, Chad is an individual health care provider with primary practice located at 3300 Webster St Ste 500 , Oakland CA 94609-3149. He recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as his primary health care specialty. Peterson, Chad can be contacted via phone (510) 465-6600.

Contact Information

Primary practice address
3300 Webster St Ste 500 Oakland CA 94609-3149
Fax: (510) 839-0806
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 775942 California

Profile Details

NPI number 1972181238
LBN Legal business name Peterson, Chad
Credentials RNFA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2021
Last updated Mar 30th, 2021 - about 4 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 1972181238 NPPES
California Other 775942 RNMFA

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