Peterson, Jordan

Peterson, Jordan is an individual health care provider with primary practice located at 9520 Padgett St , San Diego CA 92126-4445. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Peterson, Jordan can be contacted via phone (858) 866-8133.

Contact Information

Primary practice address
9520 Padgett St San Diego CA 92126-4445
Phone: (858) 866-8133
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 306141 California

Profile Details

NPI number 1124650171
LBN Legal business name Peterson, Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2020
Last updated Nov 18th, 2024 - about 2 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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