Peterson, Jesse

Peterson, Jesse is an individual health care provider with primary practice located at 6767 W Greenfield Ave # Ll3 , West Allis WI 53214-4967. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Peterson, Jesse can be contacted via phone (414) 274-9621.

Contact Information

Primary practice address
6767 W Greenfield Ave # Ll3 West Allis WI 53214-4967
Phone: (414) 274-9621
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1598510786
LBN Legal business name Peterson, Jesse
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2024
Last updated Apr 22nd, 2024 - about last year

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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