Peters, Jaclyn

Peters, Jaclyn is an individual health care provider with primary practice located at 2005 Limestone Ave , Columbia MO 65203-8595. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Peters, Jaclyn can be contacted via phone (573) 445-0510.

Contact Information

Primary practice address
2005 Limestone Ave Columbia MO 65203-8595
Phone: (573) 445-0510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2003027454 Missouri

Profile Details

NPI number 1306034178
LBN Legal business name Peters, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2007
Last updated Oct 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306034178 NPPES
Missouri Other 2003027454 PT LICENSE NUMBER

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