Peterson, Keith R
Peterson, Keith R is an sole proprietor health care provider with primary practice located at 6 Venture Suite 350, Irvine CA 92618-3340. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Peterson, Keith R can be contacted via phone (949) 683-8789.Contact Information
Primary practice address
6 Venture Suite 350
Irvine CA 92618-3340
Phone: (949) 683-8789
Fax: (949) 581-4484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 15859 | California |
Profile Details
| NPI number | 1023144573 |
|---|---|
| LBN Legal business name | Peterson, Keith R |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 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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