Peterson, James S

Peterson, James S is an individual health care provider with primary practice located at 1400 W Main Suite 16, Carbondale IL 62901. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Peterson, James S can be contacted via phone (618) 529-2227.

Contact Information

Primary practice address
1400 W Main Suite 16 Carbondale IL 62901
Phone: (618) 529-2227
Fax: (618) 529-2227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1376661272
LBN Legal business name Peterson, James S
Credentials PHD ABPN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
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.

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