Peterson, Bruce Allen
Peterson, Bruce Allen is an sole proprietor health care provider with primary practice located at 2599 White Bear Ave N , Maplewood MN 55109-5171. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Peterson, Bruce Allen can be contacted via phone (651) 779-8115.Contact Information
Primary practice address
2599 White Bear Ave N
Maplewood MN 55109-5171
Phone: (651) 779-8115
Fax: (651) 779-9319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2446 | Minnesota |
Profile Details
| NPI number | 1467557645 |
|---|---|
| LBN Legal business name | Peterson, Bruce Allen |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467557645 | NPPES |
| Minnesota | Other | 59434PE | BCBS |
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