Pederson, Jonathan

Pederson, Jonathan is an individual health care provider with primary practice located at 301 N Ankeny Blvd , Ankeny IA 50023-1730. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Pederson, Jonathan can be contacted via phone (515) 965-1422.

Contact Information

Primary practice address
301 N Ankeny Blvd Ankeny IA 50023-1730
Phone: (515) 965-1422
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 001110 Iowa

Profile Details

NPI number 1104261288
LBN Legal business name Pederson, Jonathan
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2013
Last updated May 3rd, 2013 - about 11 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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