Peterson, Rowdy Adam

Peterson, Rowdy Adam is an individual health care provider with primary practice located at 6333 E Skelly Dr , Tulsa OK 74135-6106. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Peterson, Rowdy Adam can be contacted via phone (918) 510-2160.

Contact Information

Primary practice address
6333 E Skelly Dr Tulsa OK 74135-6106
Phone: (918) 510-2160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X Oklahoma

Profile Details

NPI number 1790520708
LBN Legal business name Peterson, Rowdy Adam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2024
Last updated Jul 1st, 2024 - about 5 months 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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