Peterson, Steven P
Peterson, Steven P is an individual health care provider with primary practice located at Madison East Center Suite 352 Mankato Clinic Department Of Psychiatry, Mankato MN 56001. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Peterson, Steven P can be contacted via phone (507) 387-3195.Contact Information
Primary practice address
Madison East Center Suite 352 Mankato Clinic Department Of Psychiatry
Mankato MN 56001
Phone: (507) 387-3195
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP2984 | Minnesota |
Profile Details
| NPI number | 1326027244 |
|---|---|
| LBN Legal business name | Peterson, Steven P |
| Credentials | MS, LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Jul 15th, 2020 - about 4 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 | 1326027244 | NPPES |
| Minnesota | Other | 114944 | UCARE |
| Minnesota | Other | 410849339 56001 C027 | UCARE |
| Minnesota | Other | NA2951012523 | UCARE |
| Minnesota | Other | 248L7PE | UCARE |
| Minnesota | Other | 2409705 | UCARE |
| Minnesota | MEDICAID | 714563200 | UCARE |
| Minnesota | Other | HP28644 | UCARE |
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Madison East Center Ste 352 Mankato Clinic Department Of Psychiatry, Mankato MN 56001