Petersen, Stephanie Jean
Petersen, Stephanie Jean is an sole proprietor health care provider with primary practice located at 15300 Grove Cir N T2223, Maple Grove MN 55369-4469. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Petersen, Stephanie Jean can be contacted via phone (763) 447-2507.Contact Information
Primary practice address
15300 Grove Cir N T2223
Maple Grove MN 55369-4469
Phone: (763) 447-2507
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 120803 | Minnesota |
Profile Details
| NPI number | 1194080135 |
|---|---|
| LBN Legal business name | Petersen, Stephanie Jean |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2012 |
| Last updated | Jul 5th, 2012 - about 14 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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