Petersen, John William

Petersen, John William is an sole proprietor health care provider with primary practice located at 12000 Elm Creek Blvd N Ste L70 , Maple Grove MN 55369-7167. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Petersen, John William can be contacted via phone (763) 420-4111.

Contact Information

Primary practice address
12000 Elm Creek Blvd N Ste L70 Maple Grove MN 55369-7167
Phone: (763) 420-4111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X 1764 Minnesota

Profile Details

NPI number 1720110737
LBN Legal business name Petersen, John William
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
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.

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