Petersen, William J

Petersen, William J is an individual health care provider with primary practice located at 2409 Center Ave , Madison WI 53704-5628. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Petersen, William J can be contacted via phone (000) 000-0000.

Contact Information

Primary practice address
2409 Center Ave Madison WI 53704-5628
Phone: (000) 000-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 294 Wisconsin

Profile Details

NPI number 1073580569
LBN Legal business name Petersen, William J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated May 21st, 2021 - about 5 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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