Petersen, John G
Petersen, John G is an sole proprietor health care provider with primary practice located at 193 N Broadway , Pennsville NJ 08070-1417. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Petersen, John G can be contacted via phone (856) 678-2122.Contact Information
Primary practice address
193 N Broadway
Pennsville NJ 08070-1417
Phone: (856) 678-2122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 28RI01431300 | New Jersey |
Profile Details
| NPI number | 1730294430 |
|---|---|
| LBN Legal business name | Petersen, John G |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730294430 | NPPES |
| New Jersey | Other | 28RI01431300 | PHARMACIST LICENSE |
Popular Providers
-
Wood, Jason M
230 S Broadway , Pennsville NJ 08070-2724 -
Hull, Melissa Ann
1145 Broadway , Seattle WA 98122-4201 -
Nguyen, Neil Tuan
230 S Broadway , Pennsville NJ 08070-2724 -
Agostini, Christopher P
251 N Broadway , Pennsville NJ 08070-1200 -
Pendyala, Yadagiri R
182 N Broadway , Pennsville NJ 08070-1419 -
Bullock, Clinton D
1 Choctaw Way , Talihina OK 74571-2022 -
Dezenhall, Jill
251 N Broadway , Pennsville NJ 08070-1200 -
Swiatek, Sarah R.
5001 Taylor Rd , Punta Gorda FL 33950-4722