Peternell, James Andrew
Peternell, James Andrew is an sole proprietor health care provider with primary practice located at 470 2Nd St N # C-1 , Safety Harbor FL 34695-3600. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Peternell, James Andrew can be contacted via phone (727) 772-3251.Contact Information
Primary practice address
470 2Nd St N # C-1
Safety Harbor FL 34695-3600
Phone: (727) 772-3251
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA 47026 | Florida |
Profile Details
| NPI number | 1477759652 |
|---|---|
| LBN Legal business name | Peternell, James Andrew |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477759652 | NPPES |
| Florida | Other | MA 47026 | FLORIDA MASSAGE LICENSE # |
| Florida | Other | MM 19426 | FLORIDA MASSAGE LICENSE # |
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