Peterson, Shon J
Peterson, Shon J is an sole proprietor health care provider with primary practice located at 11265 Decatur St Ste 400 , Westminster CO 80234-4793. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Peterson, Shon J can be contacted via phone (303) 452-4656.Contact Information
Primary practice address
11265 Decatur St Ste 400
Westminster CO 80234-4793
Phone: (303) 452-4656
Fax: (303) 254-6994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 8741 | Colorado |
Profile Details
| NPI number | 1831292929 |
|---|---|
| LBN Legal business name | Peterson, Shon J |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Apr 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831292929 | NPPES |
| Colorado | MEDICAID | 1699048439 |
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