Peterson, Larry L

Peterson, Larry L is an individual health care provider with primary practice located at 601 S Edwin C Moses Blvd , Dayton OH 45417-3424. He recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health, Nursing Service Providers / Psychiatric/Mental Health, Adult, Nursing Service Providers / Addiction (Substance Use Disorder). Nursing Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Peterson, Larry L can be contacted via phone (937) 734-8333.

Contact Information

Primary practice address
601 S Edwin C Moses Blvd Dayton OH 45417-3424
Phone: (937) 734-8333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 378059 Ohio
Nursing Service Providers / Home Health 163WH0200X 378059 Ohio
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 378059 Ohio
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X RN.378059 Ohio

Profile Details

NPI number 1124459151
LBN Legal business name Peterson, Larry L
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2013
Last updated Oct 2nd, 2019 - about 5 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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