Petersen, Derek Gene
Petersen, Derek Gene is an sole proprietor health care provider with primary practice located at 3303 W 144Th Ave Unit 100 , Broomfield CO 80023-9464. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Petersen, Derek Gene can be contacted via phone (720) 308-9798.Contact Information
Primary practice address
3303 W 144Th Ave Unit 100
Broomfield CO 80023-9464
Phone: (720) 308-9798
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 9978 | Colorado |
Profile Details
| NPI number | 1487887451 |
|---|---|
| LBN Legal business name | Petersen, Derek Gene |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2009 |
| Last updated | Feb 5th, 2014 - about 10 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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