Peterson, Janet P

Peterson, Janet P is an individual health care provider with primary practice located at 853 Nw Monroe Ave , Corvallis OR 97330-6352. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Peterson, Janet P can be contacted via phone (541) 754-1550.

Contact Information

Primary practice address
853 Nw Monroe Ave Corvallis OR 97330-6352
Phone: (541) 754-1550
Fax: (541) 754-0558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6102 Oregon

Profile Details

NPI number 1003815085
LBN Legal business name Peterson, Janet P
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
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 1003815085 NPPES
Oregon MEDICAID 193607

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