Peterson, Spencer Girard

Peterson, Spencer Girard is an individual health care provider with primary practice located at 500 N Us Highway 89 , Prescott AZ 86313-5001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation, Blind, which is considered as his primary health care specialty. Peterson, Spencer Girard can be contacted via phone (928) 776-6018.

Contact Information

Primary practice address
500 N Us Highway 89 Prescott AZ 86313-5001
Phone: (928) 776-6018
Fax: (928) 717-7596
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation, Blind 2255R0406X

Profile Details

NPI number 1376186858
LBN Legal business name Peterson, Spencer Girard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2019
Last updated Oct 28th, 2019 - about 6 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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