Peterson, David Andrew
Peterson, David Andrew is an individual health care provider with primary practice located at Nomi Det Numi Submarine Base Nlon Building 159, Groton CT 06349. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Peterson, David Andrew can be contacted via phone (860) 694-2876.Contact Information
Primary practice address
Nomi Det Numi Submarine Base Nlon Building 159
Groton CT 06349
Phone: (860) 694-2876
Fax: (860) 694-3874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1639147606 |
|---|---|
| LBN Legal business name | Peterson, David Andrew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639147606 | NPPES |
| Other | 1710I1002X | INDEPENDENT DUTY CORPSMAN |
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