Peterson, F Tom
Peterson, F Tom is an individual health care provider with primary practice located at 18 N 8Th Street #3, Miles City MT 59301-0176. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Peterson, F Tom can be contacted via phone (406) 232-1595.Contact Information
Primary practice address
18 N 8Th Street #3
Miles City MT 59301-0176
Phone: (406) 232-1595
Fax: (406) 232-1595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 119 | Montana |
Profile Details
| NPI number | 1033295712 |
|---|---|
| LBN Legal business name | Peterson, F Tom |
| Credentials | EDD LICENSE PSYCHOLO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033295712 | NPPES |
| Montana | MEDICAID | 493389 | |
| Montana | Other | 5053 |
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