Peterson, Jennifer M

Peterson, Jennifer M is an individual health care provider with primary practice located at 1380 S Columbia Rd - Altru Family Medicine Center , Grand Forks ND 58201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Peterson, Jennifer M can be contacted via phone (701) 795-2000.

Contact Information

Primary practice address
1380 S Columbia Rd - Altru Family Medicine Center Grand Forks ND 58201
Phone: (701) 795-2000
Fax: (701) 780-1896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 6615A Wyoming
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 41901 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 12080 North Dakota

Profile Details

NPI number 1144333022
LBN Legal business name Peterson, Jennifer M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Feb 28th, 2019 - about 5 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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