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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JONATHON R PETERSON, PT
705 PLEASANT AVE S
PARK RAPIDS, MN56470-1440
 Phone: 218-732-2800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JONATHON R PETERSON · (Male)

NPI Number 1003008525
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 08/17/2007
Last updated 03/17/2018 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MN License # 7998
  • ND License # 1585
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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