Peterson, Blake Richard
Peterson, Blake Richard is an individual health care provider with primary practice located at 3536 Grove Ave , Richmond VA 23221-2200. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Peterson, Blake Richard can be contacted via phone (804) 673-9355.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 0019012215 | Virginia |
Profile Details
NPI number | 1821506601 |
---|---|
LBN Legal business name | Peterson, Blake Richard |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 16th, 2018 |
Last updated | Jan 16th, 2018 - about 6 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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