Jay-Peterson, Shantel

Jay-Peterson, Shantel is an individual health care provider with primary practice located at 2104 Lewis Turner Blvd , Fort Walton Beach FL 32547-1316. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Jay-Peterson, Shantel can be contacted via phone (850) 862-3728.

Contact Information

Primary practice address
2104 Lewis Turner Blvd Fort Walton Beach FL 32547-1316
Phone: (850) 862-3728
Fax: (850) 862-6270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1114160470
LBN Legal business name Jay-Peterson, Shantel
Credentials ITDS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2009
Last updated Apr 15th, 2009 - about 15 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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