Petersen, Gregory Joseph
Petersen, Gregory Joseph is an sole proprietor health care provider with primary practice located at 9505 Blackoaks Ln N , Maple Grove MN 55311-1229. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Petersen, Gregory Joseph can be contacted via phone (763) 420-4111.Contact Information
Primary practice address
9505 Blackoaks Ln N
Maple Grove MN 55311-1229
Phone: (763) 420-4111
Fax: (763) 420-4145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5767 | Minnesota |
Profile Details
| NPI number | 1851631907 |
|---|---|
| LBN Legal business name | Petersen, Gregory Joseph |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2013 |
| Last updated | Feb 27th, 2013 - about 13 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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