Peterson, Michael

Peterson, Michael is an sole proprietor health care provider with primary practice located at 620 N Diers Ave Suite 300, Grand Island NE 68803-4984. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Peterson, Michael can be contacted via phone (308) 382-0344.

Contact Information

Primary practice address
620 N Diers Ave Suite 300 Grand Island NE 68803-4984
Phone: (308) 382-0344
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096.002411 Illinois

Profile Details

NPI number 1285906321
LBN Legal business name Peterson, Michael
Credentials M.S., ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2012
Last updated Jul 11th, 2014 - about 10 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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