Peterson, Wendy

Peterson, Wendy is an individual health care provider with primary practice located at 1730 Haines Ave , Rapid City SD 57701-0615. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Peterson, Wendy can be contacted via phone (605) 721-4934.

Contact Information

Primary practice address
1730 Haines Ave Rapid City SD 57701-0615
Phone: (605) 721-4934
Fax: (605) 791-7704
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3581 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2991 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1004 South Dakota

Profile Details

NPI number 1891786166
LBN Legal business name Peterson, Wendy
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jan 21st, 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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