Peternell, James Andrew

Peternell, James Andrew is an sole proprietor health care provider with primary practice located at 470 2Nd St N # C-1 , Safety Harbor FL 34695-3600. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Peternell, James Andrew can be contacted via phone (727) 772-3251.

Contact Information

Primary practice address
470 2Nd St N # C-1 Safety Harbor FL 34695-3600
Phone: (727) 772-3251
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA 47026 Florida

Profile Details

NPI number 1477759652
LBN Legal business name Peternell, James Andrew
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477759652 NPPES
Florida Other MA 47026 FLORIDA MASSAGE LICENSE #
Florida Other MM 19426 FLORIDA MASSAGE LICENSE #

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