Peterson, Jon B

Peterson, Jon B is an sole proprietor health care provider with primary practice located at 2611 Clearwater Rd , Saint Cloud MN 56301-5953. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Peterson, Jon B can be contacted via phone (320) 656-0200.

Contact Information

Primary practice address
2611 Clearwater Rd Saint Cloud MN 56301-5953
Phone: (320) 656-0200
Fax: (320) 656-0204
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4221 Minnesota

Profile Details

NPI number 1265593560
LBN Legal business name Peterson, Jon B
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265593560 NPPES
Minnesota Other P00039673 RAILROAD MEDICARE
Minnesota Other 406S4MI RAILROAD MEDICARE

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