Peterson, Robert John
Peterson, Robert John is an sole proprietor health care provider with primary practice located at 40647 Lake Rd , Loon Lake WA 99148-9795. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Peterson, Robert John can be contacted via phone (509) 939-5515.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 60174553 | Washington |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | X-06759 | New Mexico |
Profile Details
| NPI number | 1922336684 |
|---|---|
| LBN Legal business name | Peterson, Robert John |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2009 |
| Last updated | Nov 9th, 2023 - about last year |
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 | 1922336684 | NPPES |
| New Mexico | Other | 336712 | PED LICENSE |
| New Mexico | Other | X-06759 | PED LICENSE |
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