Peterson, Janet R

Peterson, Janet R is an individual health care provider with primary practice located at 204 S Adams St , Saint Croix Falls WI 54024-9449. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Peterson, Janet R can be contacted via phone (715) 483-3221.

Contact Information

Primary practice address
204 S Adams St Saint Croix Falls WI 54024-9449
Phone: (715) 483-3221
Fax: (715) 483-0539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 66586 Wisconsin

Profile Details

NPI number 1639191075
LBN Legal business name Peterson, Janet R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Feb 2nd, 2021 - about 5 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 1639191075 NPPES
Wisconsin Other 66586 STATE LICENCE
Wisconsin Other 235E7PE STATE LICENCE
Wisconsin Other HP69858 STATE LICENCE
Wisconsin MEDICAID 093660100 STATE LICENCE
Wisconsin Other 01 24269 STATE LICENCE
Wisconsin MEDICAID 36007300 STATE LICENCE
Wisconsin Other NA9031047699 STATE LICENCE

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