Peitersen, Wade Christian

Peitersen, Wade Christian is an individual health care provider with primary practice located at 800 Algoma Blvd Kolf Sports Center 169L, Oshkosh WI 54901-3551. 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. Peitersen, Wade Christian can be contacted via phone (920) 424-7138.

Contact Information

Primary practice address
800 Algoma Blvd Kolf Sports Center 169L Oshkosh WI 54901-3551
Phone: (920) 424-7138
Fax: (920) 424-1068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 125-039 Wisconsin

Profile Details

NPI number 1154476141
LBN Legal business name Peitersen, Wade Christian
Credentials Licensed Athletic Trainer (LAT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 19 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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