Peterson, Bart C

Peterson, Bart C is an sole proprietor health care provider with primary practice located at 1302 S Avenida Vega , Tucson AZ 85710-5101. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Peterson, Bart C can be contacted via phone (520) 584-7400.

Contact Information

Primary practice address
1302 S Avenida Vega Tucson AZ 85710-5101
Phone: (520) 584-7400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0060 Arizona

Profile Details

NPI number 1013937267
LBN Legal business name Peterson, Bart C
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013937267 NPPES
Arizona Other 0060 STATE LICENSE NUMBER

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