Pedersen, Peder

Pedersen, Peder is an individual health care provider with primary practice located at Spectrum Healthcare Resources 12647 Olive Blvd, St. Louis MO 63141. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Pedersen, Peder can be contacted via phone (800) 325-3982.

Contact Information

Primary practice address
Spectrum Healthcare Resources 12647 Olive Blvd St. Louis MO 63141
Phone: (800) 325-3982
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D4207 Arizona

Profile Details

NPI number 1134325343
LBN Legal business name Pedersen, Peder
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 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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