DENISE PETERSON NPI 1548708407

NPI Information

NPI: 1548708407
Provider Name: DENISE PETERSON
Classification: Private Vehicle - 347C00000X
Entity Type: Individual
Address:
524 23RD ST APT 3
ROCK ISLAND, IL
ZIP 61201
Phone: (309) 433-5760
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Denise Peterson is a private vehicle in Rock Island, IL. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. Denise Peterson NPI is 1548708407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

524 23RD ST APT 3
ROCK ISLAND, IL
ZIP 61201-934
Phone: (309) 433-5760

The enumeration date for this NPI number is 2/10/2017 and was last updated on 2/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	347C00000X	Private Vehicle		P36216067618	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	147733117	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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