Petersen, Clinton Jerome
Petersen, Clinton Jerome is an individual health care provider with primary practice located at 3805 S Douglas Hwy Unit 1, Gillette WY 82718-6554. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Petersen, Clinton Jerome can be contacted via phone (307) 686-0303.Contact Information
Primary practice address
3805 S Douglas Hwy Unit 1
Gillette WY 82718-6554
Phone: (307) 686-0303
Fax: (307) 686-2882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 623 | Wyoming |
Profile Details
| NPI number | 1770521221 |
|---|---|
| LBN Legal business name | Petersen, Clinton Jerome |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Feb 12th, 2018 - about 6 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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