Petersen, Justin J
Petersen, Justin J is an individual health care provider with primary practice located at 9730 Sr 532 Ste G , Stanwood WA 98292-8054. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Petersen, Justin J can be contacted via phone (360) 629-4722.Contact Information
Primary practice address
9730 Sr 532 Ste G
Stanwood WA 98292-8054
Phone: (360) 629-4722
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | Washington |
Profile Details
| NPI number | 1326207069 |
|---|---|
| LBN Legal business name | Petersen, Justin J |
| Credentials | L.M.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2008 |
| Last updated | Oct 6th, 2008 - about 18 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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