Peterson, Jill M
Peterson, Jill M is an individual health care provider with primary practice located at 3801 Spring St , Racine WI 53405-1667. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peterson, Jill M can be contacted via phone (262) 687-8538.Contact Information
Primary practice address
3801 Spring St
Racine WI 53405-1667
Phone: (262) 687-8538
Fax: (262) 687-4334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2709057 | Wisconsin |
Profile Details
| NPI number | 1669695136 |
|---|---|
| LBN Legal business name | Peterson, Jill M |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Dec 9th, 2008 - about 16 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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