Peterson, Elizabeth A

Peterson, Elizabeth A is an individual health care provider with primary practice located at 1003 Koala Dr , Omak WA 98841-9247. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Peterson, Elizabeth A can be contacted via phone (509) 422-5700.

Contact Information

Primary practice address
1003 Koala Dr Omak WA 98841-9247
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 61188057 Washington

Profile Details

NPI number 1932872686
LBN Legal business name Peterson, Elizabeth A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2021
Last updated Jul 28th, 2021 - about 3 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 1932872686 NPPES
Washington Other 61188057 PA INTERIM LICENSE

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