Peterson, Michaela A
Peterson, Michaela A is an individual health care provider with primary practice located at 650 Main St , Branford CT 06405-3613. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Peterson, Michaela A can be contacted via phone (203) 481-6150.Contact Information
Primary practice address
650 Main St
Branford CT 06405-3613
Phone: (203) 481-6150
Fax: (203) 481-0411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CT0469 | Connecticut |
Profile Details
| NPI number | 1376513069 |
|---|---|
| LBN Legal business name | Peterson, Michaela A |
| Credentials | DC, FACO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jan 7th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376513069 | NPPES |
| Connecticut | Other | OV4757 | HEALTHNET |
| Connecticut | Other | 050000469CT01 | HEALTHNET |
| Connecticut | Other | NHS019 | HEALTHNET |
| Connecticut | Other | 350052269 | HEALTHNET |
| Connecticut | Other | 046900 | HEALTHNET |
| Connecticut | Other | CT00469 | HEALTHNET |
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