Peterson, Debra Diane

Peterson, Debra Diane is an individual health care provider with primary practice located at 185 East 7Th Ave Suite D, Chico CA 95926. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Peterson, Debra Diane can be contacted via phone (530) 342-7564.

Contact Information

Primary practice address
185 East 7Th Ave Suite D Chico CA 95926
Phone: (530) 342-7564
Fax: (530) 342-7585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA15983 California

Profile Details

NPI number 1285725895
LBN Legal business name Peterson, Debra Diane
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 18 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 1285725895 NPPES
California MEDICAID OPA159830

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