Peterson, Kathy

Peterson, Kathy is an sole proprietor health care provider with primary practice located at Po Box 307 , Saint Ignace MI 49781-0307. She recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Peterson, Kathy can be contacted via phone (906) 643-8774.

Contact Information

Primary practice address
Po Box 307 Saint Ignace MI 49781-0307
Phone: (906) 643-8774
Fax: (906) 984-2028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X AS490300190 Michigan

Profile Details

NPI number 1407601644
LBN Legal business name Peterson, Kathy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2024
Last updated Apr 22nd, 2024 - about last year

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.

Request for update

Popular Providers