Petersen, Rand A

Petersen, Rand A is an individual health care provider with primary practice located at 3812 4Th Ave , Kearney NE 68845-2832. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Petersen, Rand A can be contacted via phone (308) 237-7700.

Contact Information

Primary practice address
3812 4Th Ave Kearney NE 68845-2832
Fax: (308) 236-7605
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 897 Nebraska

Profile Details

NPI number 1265475073
LBN Legal business name Petersen, Rand A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
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 1265475073 NPPES
Nebraska Other 09504 BCBS OF NE
Nebraska Other 22396 BCBS OF NE
Nebraska MEDICAID 47070724500 BCBS OF NE

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