Peterson, Douglas Jed
Peterson, Douglas Jed is an sole proprietor health care provider with primary practice located at 650 N State St Suite #1, Shelley ID 83274-5167. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Peterson, Douglas Jed can be contacted via phone (208) 357-2225.Contact Information
Primary practice address
650 N State St Suite #1
Shelley ID 83274-5167
Phone: (208) 357-2225
Fax: (208) 357-2224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA-855 | Idaho |
Profile Details
| NPI number | 1023142585 |
|---|---|
| LBN Legal business name | Peterson, Douglas Jed |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jul 9th, 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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