Peterson, Hannah B

Peterson, Hannah B is an sole proprietor health care provider with primary practice located at 3140 Clearwater Dr , Prescott AZ 86305-7131. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Peterson, Hannah B can be contacted via phone (928) 445-5959.

Contact Information

Primary practice address
3140 Clearwater Dr Prescott AZ 86305-7131
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 6659 Arizona

Profile Details

NPI number 1356678650
LBN Legal business name Peterson, Hannah B
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2009
Last updated Nov 6th, 2009 - about 16 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 1356678650 NPPES
Arizona Other 179557 ACCCHS PROVIDER

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