Peterson, Virginia Marie
Peterson, Virginia Marie is an sole proprietor health care provider with primary practice located at 26 Leroy St , Dix Hills NY 11746-6644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Peterson, Virginia Marie can be contacted via phone (631) 940-7642.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F302610-1 | New York |
Profile Details
| NPI number | 1619284551 |
|---|---|
| LBN Legal business name | Peterson, Virginia Marie |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2010 |
| Last updated | Sep 13th, 2010 - about 15 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 | 1619284551 | NPPES |
| New York | Other | 2E2181 | MEDICARE PROVIDER # |
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