Peterson, Jo A

Peterson, Jo A is an individual health care provider with primary practice located at 310 Belle Ave , Mankato MN 56001-5287. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Peterson, Jo A can be contacted via phone (507) 387-5581.

Contact Information

Primary practice address
310 Belle Ave Mankato MN 56001-5287
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R090431-3 Minnesota

Profile Details

NPI number 1073584371
LBN Legal business name Peterson, Jo A
Credentials WHCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073584371 NPPES
Minnesota Other 615S9PE BCBS MN
Minnesota Other 111464 BCBS MN
Minnesota Other 1069924 BCBS MN
Minnesota Other HP21605 BCBS MN
Minnesota Other 07-02759 BCBS MN
Minnesota Other 1016958 BCBS MN
Minnesota Other 20342 BCBS MN

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