Peterson, Jonathan
Peterson, Jonathan is an individual health care provider with primary practice located at 1200 Grant Blvd W , Wabasha MN 55981-1042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Peterson, Jonathan can be contacted via phone (651) 565-5908.Contact Information
Primary practice address
1200 Grant Blvd W
Wabasha MN 55981-1042
Phone: (651) 565-5908
Fax: (651) 565-5910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 33320 | Minnesota |
Profile Details
| NPI number | 1003882010 |
|---|---|
| LBN Legal business name | Peterson, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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