Peterson, Cole Christian

Peterson, Cole Christian is an individual health care provider with primary practice located at 530 E 2Nd St , Duluth MN 55805-1913. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Peterson, Cole Christian can be contacted via phone (218) 786-5360.

Contact Information

Primary practice address
530 E 2Nd St Duluth MN 55805-1913
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7264 Minnesota

Profile Details

NPI number 1205852373
LBN Legal business name Peterson, Cole Christian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205852373 NPPES
Wisconsin MEDICAID 42787800
Wisconsin Other 4600610

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