Petersen, Keith E

Petersen, Keith E is an individual health care provider with primary practice located at 9040 Jackson Ave , Tacoma WA 98431-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Petersen, Keith E can be contacted via phone (253) 968-1340.

Contact Information

Primary practice address
9040 Jackson Ave Tacoma WA 98431-1000
Phone: (253) 968-1340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 60595760 Washington

Profile Details

NPI number 1356615470
LBN Legal business name Petersen, Keith E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2012
Last updated Mar 12th, 2024 - about 8 months 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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