Smith, Peter
Smith, Peter is an individual health care provider with primary practice located at 415 Center St , Bridgewater MA 02324-1309. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Smith, Peter can be contacted via phone (508) 697-6902.Contact Information
Primary practice address
415 Center St
Bridgewater MA 02324-1309
Phone: (508) 697-6902
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AH748AT | Massachusetts |
Profile Details
| NPI number | 1407360258 |
|---|---|
| LBN Legal business name | Smith, Peter |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2017 |
| Last updated | Jun 16th, 2018 - about 7 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 | 1407360258 | NPPES |
| Massachusetts | Other | AH748AT | ALLIED HEALTH STATE LICENSE |
| Massachusetts | Other | AH748AT | ALLIED HEALTH STATE LICENSE |
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