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Contact Information

SEAN W PETERSON, MS LAT, ATC
1810 CATLIN AVE
ROOM 1246
SUPERIOR, WI54880
 Phone: 715-395-4641
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for SEAN W PETERSON · (Male)

NPI Number 1710524970
Status Active
Credentials MS LAT, ATC
Entity Individual
Enumeration date 12/06/2019
Last updated 12/06/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 3203
  • WI License # 2201-39
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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