Peterson, Karen Sue

Peterson, Karen Sue is an sole proprietor health care provider with primary practice located at 191 Eleanor Dr , New Castle PA 16105-5701. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Peterson, Karen Sue can be contacted via phone (724) 498-6545.

Contact Information

Primary practice address
191 Eleanor Dr New Castle PA 16105-5701
Phone: (724) 498-6545
Fax: (724) 598-3425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X DN000768 Pennsylvania

Profile Details

NPI number 1962638429
LBN Legal business name Peterson, Karen Sue
Credentials RD LDN CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2009
Last updated Sep 20th, 2016 - 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 1962638429 NPPES
Pennsylvania MEDICAID 102439288

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