Peterson, Madelyne Halle Wilma

Peterson, Madelyne Halle Wilma is an sole proprietor health care provider with primary practice located at 5910 Nauvoo Ln , Pasco WA 99301-6907. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Peterson, Madelyne Halle Wilma can be contacted via phone (206) 948-6745.

Contact Information

Primary practice address
5910 Nauvoo Ln Pasco WA 99301-6907
Fax:
Website:

Health care specialties

Profile Details

NPI number 1366956641
LBN Legal business name Peterson, Madelyne Halle Wilma
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2017
Last updated Jul 16th, 2020 - about 4 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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