Petersen, Jerry Thomas Matthew

Petersen, Jerry Thomas Matthew is an sole proprietor health care provider with primary practice located at 136 Sandbar Ct Ne , Rochester MN 55906-2652. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist, which is considered as his primary health care specialty. Petersen, Jerry Thomas Matthew can be contacted via phone (763) 415-0374.

Contact Information

Primary practice address
136 Sandbar Ct Ne Rochester MN 55906-2652
Phone: (763) 415-0374
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist 225A00000X

Profile Details

NPI number 1487276697
LBN Legal business name Petersen, Jerry Thomas Matthew
Credentials MT-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2020
Last updated May 11th, 2020 - about 4 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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