Fetherston, Jennifer Peterson

Fetherston, Jennifer Peterson is an sole proprietor health care provider with primary practice located at 1844 N Garland St , Wichita KS 67203-2843. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Fetherston, Jennifer Peterson can be contacted via phone (316) 619-5345.

Contact Information

Primary practice address
1844 N Garland St Wichita KS 67203-2843
Phone: (316) 619-5345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4851 Kansas

Profile Details

NPI number 1275592313
LBN Legal business name Fetherston, Jennifer Peterson
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2006
Last updated Aug 28th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275592313 NPPES
Kansas Other 510496114 UNITED HEALTHCARE
Kansas Other 062093 UNITED HEALTHCARE

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