Peterson, John Gregory
Peterson, John Gregory is an sole proprietor health care provider with primary practice located at 9201 W Overland Rd , Boise ID 83709-2502. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Peterson, John Gregory can be contacted via phone (208) 375-0185.Contact Information
Primary practice address
9201 W Overland Rd
Boise ID 83709-2502
Phone: (208) 375-0185
Fax: (208) 375-0305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D-3921 | Idaho |
Profile Details
| NPI number | 1295875953 |
|---|---|
| LBN Legal business name | Peterson, John Gregory |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| 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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