Peterson, John Russell

Peterson, John Russell is an individual health care provider with primary practice located at 508 Upland St , Kenai AK 99611-8026. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Peterson, John Russell can be contacted via phone (907) 335-7500.

Contact Information

Primary practice address
508 Upland St Kenai AK 99611-8026
Phone: (907) 335-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1528657152
LBN Legal business name Peterson, John Russell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2021
Last updated Jan 18th, 2021 - about 3 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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