Peterson, Debra Jane

Peterson, Debra Jane is an individual health care provider with primary practice located at 50 N Walkup Ave , Crystal Lake IL 60014-4316. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Peterson, Debra Jane can be contacted via phone (815) 356-9400.

Contact Information

Primary practice address
50 N Walkup Ave Crystal Lake IL 60014-4316
Fax: (815) 356-9100
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041-355979 Illinois

Profile Details

NPI number 1306034129
LBN Legal business name Peterson, Debra Jane
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2007
Last updated May 2nd, 2009 - about 15 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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