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Contact Information

JENNIFER L PETERSEN, ATC MS
1256 BARK RD
MAGNOLIA, OH44643
 Phone: 330-866-9186
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JENNIFER L PETERSEN · (Female)

NPI # 1265586812
Status Active
Credentials ATC MS
Entity Individual
Enumeration date 01/22/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OH License # AT001606
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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