Peterson, Holly Christine

Peterson, Holly Christine is an individual health care provider with primary practice located at 1200 Sixth Ave N Centra Care Clinic, St Cloud MN 56303-2735. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Peterson, Holly Christine can be contacted via phone (320) 251-2700.

Contact Information

Primary practice address
1200 Sixth Ave N Centra Care Clinic St Cloud MN 56303-2735
Phone: (320) 251-2700
Fax: (320) 240-2118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44593 Minnesota
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 44593 Minnesota

Profile Details

NPI number 1356339303
LBN Legal business name Peterson, Holly Christine
Credentials MD, SFHM
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Oct 30th, 2015 - about 9 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 1356339303 NPPES
Other 110008471 MEDICARE
Other 142118 MEDICARE
Other 951364 MEDICARE
MEDICAID 314780100 MEDICARE
Other 59G88PE MEDICARE
Other 1030668 MEDICARE
Other HP35318 MEDICARE
Other 0404508 MEDICARE
Other 2116659 MEDICARE
Other 314780100 MEDICARE

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