Petersen, Evan J

Petersen, Evan J is an individual health care provider with primary practice located at 3851 Roger Brooke Dr Bldg 3600, Fort Sam Houston TX 78234-4501. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Petersen, Evan J can be contacted via phone (210) 916-1920.

Contact Information

Primary practice address
3851 Roger Brooke Dr Bldg 3600 Fort Sam Houston TX 78234-4501
Phone: (210) 916-1920
Fax: (210) 916-4074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 3803 South Carolina

Profile Details

NPI number 1609867548
LBN Legal business name Petersen, Evan J
Credentials PT, OCS, ATC, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
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.

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