Peterson, Jacquelyn
Peterson, Jacquelyn is an individual health care provider with primary practice located at 320 Prather Ave , Jamestown NY 14701-6820. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Peterson, Jacquelyn can be contacted via phone (716) 753-7107.Contact Information
Primary practice address
320 Prather Ave
Jamestown NY 14701-6820
Phone: (716) 753-7107
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 007012 | New York |
Profile Details
| NPI number | 1124019948 |
|---|---|
| LBN Legal business name | Peterson, Jacquelyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2005 |
| Last updated | Jun 15th, 2021 - about 4 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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