Peterson, Hollys
Peterson, Hollys is an individual health care provider with primary practice located at 200 Highway 2 W , Devils Lake ND 58301-3532. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Peterson, Hollys can be contacted via phone (701) 665-2200.Contact Information
Primary practice address
200 Highway 2 W
Devils Lake ND 58301-3532
Phone: (701) 665-2200
Fax: (701) 665-2300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1547 | North Dakota |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1886 | North Dakota |
Profile Details
| NPI number | 1700960739 |
|---|---|
| LBN Legal business name | Peterson, Hollys |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1700960739 | NPPES |
| North Dakota | Other | 027662 | BCBS PIN |
| North Dakota | MEDICAID | 054518 | BCBS PIN |
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