Peterson, Jessaca Lauren

Peterson, Jessaca Lauren is an individual health care provider with primary practice located at 4100 W 3Rd St , Dayton OH 45428-9000. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Sonography, which is considered as her primary health care specialty. Peterson, Jessaca Lauren can be contacted via phone (937) 268-6511.

Contact Information

Primary practice address
4100 W 3Rd St Dayton OH 45428-9000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Sonography 2471S1302X 122613 Alabama

Profile Details

NPI number 1225301989
LBN Legal business name Peterson, Jessaca Lauren
Credentials ARDMS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2012
Last updated Feb 10th, 2012 - about 12 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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