Peterson, Blake Richard

Peterson, Blake Richard is an individual health care provider with primary practice located at 3536 Grove Ave , Richmond VA 23221-2200. 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. Peterson, Blake Richard can be contacted via phone (804) 673-9355.

Contact Information

Primary practice address
3536 Grove Ave Richmond VA 23221-2200
Phone: (804) 673-9355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 0019012215 Virginia

Profile Details

NPI number 1821506601
LBN Legal business name Peterson, Blake Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2018
Last updated Jan 16th, 2018 - about 8 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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