Peterson, Jordan

Peterson, Jordan is an individual health care provider with primary practice located at 500 South Navajo Drive , Page AZ 86040. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Peterson, Jordan can be contacted via phone (928) 608-4100.

Contact Information

Primary practice address
500 South Navajo Drive Page AZ 86040
Phone: (928) 608-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 4109734 Arizona

Profile Details

NPI number 1851847578
LBN Legal business name Peterson, Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 8 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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