Petersen, Kevin E.

Petersen, Kevin E. is an individual health care provider with primary practice located at 29 Lake St S , Big Lake MN 55309-4588. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Petersen, Kevin E. can be contacted via phone (763) 263-3470.

Contact Information

Primary practice address
29 Lake St S Big Lake MN 55309-4588
Phone: (763) 263-3470
Fax: (763) 263-5900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X 4263 Minnesota

Profile Details

NPI number 1851414346
LBN Legal business name Petersen, Kevin E.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Dec 29th, 2010 - about 14 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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