Peterson, Ronald Gene

Peterson, Ronald Gene is an individual health care provider with primary practice located at 815 Lincoln Hwy Ste 101 , Fairview Heights IL 62208-2230. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Peterson, Ronald Gene can be contacted via phone (618) 589-3911.

Contact Information

Primary practice address
815 Lincoln Hwy Ste 101 Fairview Heights IL 62208-2230
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038.012069 Illinois

Profile Details

NPI number 1891064226
LBN Legal business name Peterson, Ronald Gene
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2011
Last updated Nov 29th, 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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