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:
Health care specialties
Specialty | Code | License # | 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 17 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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