Petersen, George Justin

Petersen, George Justin is an individual health care provider with primary practice located at 3064 Fried Ave , San Diego CA 92122-2235. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as his primary health care specialty. Petersen, George Justin can be contacted via phone (858) 405-2855.

Contact Information

Primary practice address
3064 Fried Ave San Diego CA 92122-2235
Phone: (858) 405-2855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 36323 California

Profile Details

NPI number 1144767468
LBN Legal business name Petersen, George Justin
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2017
Last updated Jan 24th, 2017 - about 8 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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