Active NPIIndividual providerSole proprietor

Charles Peterson

Counselor, Professional in Wethersfield, Connecticut

NPI Number1154798502
Practice location
185 Silas Deane Hwy, Wethersfield, CT 06109
Fax
—
Last updated
September 11, 2018

Charles Peterson is a Counselor, Professional based in Wethersfield, CT. Charles Peterson practices in Wethersfield, CT. The NPI Number for Charles Peterson is 1154798502 and holds a License No. 003293 (CT). The current practice location address for Charles Peterson is 185 Silas Deane Hwy, Wethersfield, CT 06109 and can be reached out via phone at 860-698-1680.

Provider Profile Details

NPI Number
1154798502
Provider Name
Charles Peterson
Provider Entity Type
Individual
Gender
Male
Address
185 Silas Deane Hwy, Wethersfield, CT 06109
Phone Number
860-698-1680
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
September 1, 2015
Last Update Date
September 11, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
185 Silas Deane Hwy
Wethersfield, CT 06109
Zip
06109
Phone Number
860-698-1680
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
1487 Longmeadow St
Longmeadow, MA 01106-2204
City
Longmeadow
State
MA
Zip
01106-2204
Phone Number
413-726-8716

License Information

License Number
003293
License State
CT
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Charles Peterson?

The NPI number of Charles Peterson is 1154798502. It was assigned on September 1, 2015 and is currently active in the NPPES registry.

What is the specialty of Charles Peterson?

Charles Peterson is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 003293.

Where does Charles Peterson practice?

The practice location is 185 Silas Deane Hwy, Wethersfield, CT 06109. The office can be reached at 860-698-1680 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154798502 directly on the NPPES registry website.

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