Pettersen, Eric
Pettersen, Eric is an sole proprietor health care provider with primary practice located at 522 W Finnie Flats Rd Ste J, Camp Verde AZ 86322-7265. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pettersen, Eric can be contacted via phone (928) 567-5249.Contact Information
Primary practice address
522 W Finnie Flats Rd Ste J
Camp Verde AZ 86322-7265
Phone: (928) 567-5249
Fax: (928) 567-0430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3089 | Arizona |
Profile Details
| NPI number | 1710903299 |
|---|---|
| LBN Legal business name | Pettersen, Eric |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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