Petersen, James Tyler
Petersen, James Tyler is an individual health care provider with primary practice located at 657 W 200 N , Cedar City UT 84720-2408. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Petersen, James Tyler can be contacted via phone (435) 592-4845.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA-1429 | Idaho |
| Chiropractic Providers / Chiropractor | 111N00000X | 7779072-1202 | Utah |
Profile Details
| NPI number | 1134439755 |
|---|---|
| LBN Legal business name | Petersen, James Tyler |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2010 |
| Last updated | Mar 20th, 2012 - about 13 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 | 1134439755 | NPPES |
| Utah | Other | U000073714 | PTAN |
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