Peterson, Jeffrey

Peterson, Jeffrey is an individual health care provider with primary practice located at 17735 Xylite St Ne , Ham Lake MN 55304-4436. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Peterson, Jeffrey can be contacted via phone (763) 213-2033.

Contact Information

Primary practice address
17735 Xylite St Ne Ham Lake MN 55304-4436
Phone: (763) 213-2033
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1245630177
LBN Legal business name Peterson, Jeffrey
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2014
Last updated Aug 28th, 2014 - about 11 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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