Peloquin, Gary
Peloquin, Gary is an sole proprietor health care provider with primary practice located at 1830 Ne Dixie Hwy , Jensen Beach FL 34957-6445. He recently has only one registered license in Other Service Providers / Reflexologist, which is considered as his primary health care specialty. Peloquin, Gary can be contacted via phone (772) 225-5555.Contact Information
Primary practice address
1830 Ne Dixie Hwy
Jensen Beach FL 34957-6445
Phone: (772) 225-5555
Fax: (772) 225-0675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Reflexologist | 173C00000X | MA23030 | Florida |
Profile Details
| NPI number | 1528290145 |
|---|---|
| LBN Legal business name | Peloquin, Gary |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2009 |
| Last updated | Aug 15th, 2009 - about 17 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 | 1528290145 | NPPES |
| Florida | Other | MA23030 | STATE MASSAGE THERAPY LICENSE |
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