Peterson, David Norman

Peterson, David Norman is an sole proprietor health care provider with primary practice located at 22 2Nd Ave S , Sauk Rapids MN 56379-1408. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Peterson, David Norman can be contacted via phone (320) 252-7806.

Contact Information

Primary practice address
22 2Nd Ave S Sauk Rapids MN 56379-1408
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X MN7589 Minnesota

Profile Details

NPI number 1487716783
LBN Legal business name Peterson, David Norman
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1487716783 NPPES
Minnesota Other MN7589 STATE LICENSE

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