Peterson, Heidi Habicht
Peterson, Heidi Habicht is an individual health care provider with primary practice located at 230 Washington Street , South Attleboro MA 02703. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Peterson, Heidi Habicht can be contacted via phone (508) 761-5650.Contact Information
Primary practice address
230 Washington Street
South Attleboro MA 02703
Phone: (508) 761-5650
Fax: (508) 761-9870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 159941 | Massachusetts |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD11077 | Rhode Island |
Profile Details
| NPI number | 1558380600 |
|---|---|
| LBN Legal business name | Peterson, Heidi Habicht |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Sep 6th, 2013 - about 11 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 | 1558380600 | NPPES |
| Massachusetts | Other | 0020858 | NEIGHBORHOOD HEALTHCARE |
| Massachusetts | Other | 410071 | NEIGHBORHOOD HEALTHCARE |
| Massachusetts | MEDICAID | 3200302 | NEIGHBORHOOD HEALTHCARE |
| Massachusetts | Other | 711511 | NEIGHBORHOOD HEALTHCARE |
| Massachusetts | Other | J25000 | NEIGHBORHOOD HEALTHCARE |
| Massachusetts | Other | 159941 | NEIGHBORHOOD HEALTHCARE |
| Massachusetts | MEDICAID | HB53533 | NEIGHBORHOOD HEALTHCARE |
| Massachusetts | Other | 26483 | NEIGHBORHOOD HEALTHCARE |
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