Peterson, Amy S

Peterson, Amy S is an individual health care provider with primary practice located at 805 4Th Ave Dr , Jerome ID 83338-2104. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Peterson, Amy S can be contacted via phone (208) 308-1350.

Contact Information

Primary practice address
805 4Th Ave Dr Jerome ID 83338-2104
Phone: (208) 308-1350
Fax: (208) 324-9628
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X 101-17560 Virginia

Profile Details

NPI number 1699017764
LBN Legal business name Peterson, Amy S
Credentials IBCLC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2013
Last updated Mar 26th, 2013 - about 11 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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