Peterson, Jane Annette

Peterson, Jane Annette is an individual health care provider with primary practice located at 10 Tri Park Way , Appleton WI 54914-1658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Peterson, Jane Annette can be contacted via phone (920) 831-0070.

Contact Information

Primary practice address
10 Tri Park Way Appleton WI 54914-1658
Phone: (920) 831-0070
Fax: (920) 831-7939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 194-023 Wisconsin

Profile Details

NPI number 1184643827
LBN Legal business name Peterson, Jane Annette
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 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.

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