Petersen, Jennifer
Petersen, Jennifer is an individual health care provider with primary practice located at 301 Park Dr , Owatonna MN 55060-5639. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Petersen, Jennifer can be contacted via phone (507) 451-1771.Contact Information
Primary practice address
301 Park Dr
Owatonna MN 55060-5639
Phone: (507) 451-1771
Fax: (507) 774-3008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacy Technician | 183700000X | 729051 | Minnesota |
Profile Details
| NPI number | 1265823058 |
|---|---|
| LBN Legal business name | Petersen, Jennifer |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2015 |
| Last updated | Feb 15th, 2015 - about 9 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 | 1265823058 | NPPES |
| Minnesota | Other | 2422044 | NCPDP |
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