Easty, Janice Petersen

Easty, Janice Petersen is an sole proprietor health care provider with primary practice located at 7200 Harrison Ave F35, Rockford IL 61112-1017. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Easty, Janice Petersen can be contacted via phone (815) 332-8228.

Contact Information

Primary practice address
7200 Harrison Ave F35 Rockford IL 61112-1017
Phone: (815) 332-8228
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Illinois

Profile Details

NPI number 1942321252
LBN Legal business name Easty, Janice Petersen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
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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