Thaxter, Peter John

Thaxter, Peter John is an individual health care provider with primary practice located at 510 Princess Anne St Ste 102 , Fredericksburg VA 22401-6077. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Thaxter, Peter John can be contacted via phone (540) 698-0003.

Contact Information

Primary practice address
510 Princess Anne St Ste 102 Fredericksburg VA 22401-6077
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 0810006004 Virginia

Profile Details

NPI number 1174018980
LBN Legal business name Thaxter, Peter John
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2018
Last updated Jun 25th, 2018 - about 8 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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