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Shelby Petersen

Technician/Technologist

32100 Telegraph Rd Ste 205
Bingham Farms , Michigan 48025-2454

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Shelby Petersen

Technician/Technologist

32100 Telegraph Rd Ste 205
Bingham Farms , Michigan 48025-2454

(248) 712-4266

Write a Review Save Call

Shelby Petersen

Technician/Technologist

32100 Telegraph Rd Ste 205
Bingham Farms , Michigan 48025-2454

(248) 712-4266 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Technician/Technologist

Languages spoken

  • English

Location

32100 Telegraph Rd Ste 205 Bingham Farms , Michigan 48025-2454

First Address

  • Shelby Petersen
  • 32100 Telegraph Rd Ste 205
  • Bingham Farms, MI
  • Zip : 48025-2454
  • Phone : (248) 712-4266

Second Address

  • Shelby Petersen
  • 32100 Telegraph Rd Ste 205
  • Bingham Farms, MI
  • Zip : 48025-2454
  • Phone : (248) 712-4266

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FAQs


Where did Shelby Petersen attend graduate school?

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Where did Shelby Petersen do her residency?

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Where did Shelby Petersen do her fellowship?

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Is Shelby Petersen board certified?

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What type of doctor is Shelby Petersen

Technician/Technologist

In what state does Shelby Petersen practice in?

Michigan

Where is Shelby Petersen ’s practice located?

32100 Telegraph Rd Ste 205 , Bingham Farms, Michigan, 48025-2454

What is Shelby Petersen ’s gender?

Female

Is Shelby Petersen a sole practitioner?

No

Is Shelby Petersen accepting new patients?

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What languages does Shelby Petersen speak?

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Does Shelby Petersen accept insurance?

Yes, Shelby Petersen accepts insurance

Does Shelby Petersen offers telemedicine?

Shelby Petersen has not indicated if she offers telemedicine

What is Shelby Petersen ’s professional license number?

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What is Shelby Petersen ’s NPI number?

1205329992

Does Shelby Petersen have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 156F00000X Technician/Technologist

National Provider Identifier

NPI 1205329992
Provider Name Shelby Petersen
First Address Bingham Farms, MI 48025-2454
Second Address Bingham Farms, MI 48025-2454
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 07/06/2018
Last Update Date 07/06/2018

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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