Peterson, Rachell

Peterson, Rachell is an individual health care provider with primary practice located at 891 Belsly Blvd , Moorhead MN 56560-5055. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Peterson, Rachell can be contacted via phone (218) 287-4338.

Contact Information

Primary practice address
891 Belsly Blvd Moorhead MN 56560-5055
Phone: (218) 287-4338
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X L69 North Dakota

Profile Details

NPI number 1194162081
LBN Legal business name Peterson, Rachell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2013
Last updated Apr 13th, 2021 - about 3 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 1194162081 NPPES
Minnesota MEDICAID BACB444180

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