Peterson, Jade

Peterson, Jade is an individual health care provider with primary practice located at 123 N Wacker Dr Suite 1250, Chicago IL 60606-1743. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Peterson, Jade can be contacted via phone (800) 744-5962.

Contact Information

Primary practice address
123 N Wacker Dr Suite 1250 Chicago IL 60606-1743
Phone: (800) 744-5962
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1225571268
LBN Legal business name Peterson, Jade
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2016
Last updated Nov 23rd, 2016 - about 10 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 1225571268 NPPES
Illinois Other 36-3644185 RETROFIT, INC

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