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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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