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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306034178 | NPPES |
| Missouri | Other | 2003027454 | PT LICENSE NUMBER |
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