Peterson, Timothy A
Peterson, Timothy A is an individual health care provider with primary practice located at 701 Park Ave P7, Minneapolis MN 55415-1623. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Peterson, Timothy A can be contacted via phone (612) 873-2370.Contact Information
Primary practice address
701 Park Ave P7
Minneapolis MN 55415-1623
Phone: (612) 873-2370
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | D7957 | Minnesota |
Profile Details
| NPI number | 1477507119 |
|---|---|
| LBN Legal business name | Peterson, Timothy A |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jul 29th, 2007 - about 18 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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