Peterson, Jill
Peterson, Jill is an sole proprietor health care provider with primary practice located at 6125 N Sunshine St , Coeur D Alene ID 83815. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Peterson, Jill can be contacted via phone (208) 964-4457.Contact Information
Primary practice address
6125 N Sunshine St
Coeur D Alene ID 83815
Phone: (208) 964-4457
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA 60093876 | Washington |
Profile Details
| NPI number | 1700107612 |
|---|---|
| LBN Legal business name | Peterson, Jill |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2010 |
| Last updated | Jun 15th, 2010 - about 15 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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