Tracy Peterson is a Professional in Wausau, Wisconsin. Tracy Peterson practices all healthcare services and medical treatments related to Professional. The NPI Number for Tracy Peterson is 1134136419. The last update date is 2007-09-04.
Tracy Peterson's current location address is 614 N 3rd Ave, Wausau, Wisconsin. You can contact this provider via phone number 7158483031. The mailing address for Tracy Peterson is 614 N 3rd Ave, Wausau, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Peterson |
|---|---|
| Address | 614 N 3rd Ave, Wausau, Wisconsin |
| Phone Number | 7158483031 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1134136419 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-09-04 |
Provider Mailing Address Detail
| Address | 614 N 3rd Ave |
|---|---|
| City | Wausau |
| State | Wisconsin (WI) |
| Post Code | 544012913 |
| Phone Number | 7158483031 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 3295-125 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43590200 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tracy Peterson by the Centers for Medicare & Medicaid Services?
The Tracy Peterson has been issued the NPI (National Provider Identifier) 1134136419 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Tracy Peterson's physical address?
The Tracy Peterson is physically located at 614 N 3Rd Ave, in the city of Wausau, WI, with the postal code 544012913.
What is Tracy Peterson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tracy Peterson is Professional, and the corresponding taxonomy classification code for this specialized field is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134136419 to Tracy Peterson?
The Tracy Peterson received its 1134136419 assignment from the Centers for Medicare & Medicaid Services on 2006-08-01.
When was the Tracy Peterson's information last updated?
The Tracy Peterson's information was last updated on 2007-09-04.
NPI Number: 1063415297
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