Jennifer C Peterson in La Crosse - Pediatric Critical Care Medicine
Jennifer C Peterson - NPI 1154586071
Jennifer C Peterson is a Pediatric Critical Care Medicine in La Crosse, Wisconsin. Jennifer C Peterson practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Jennifer C Peterson is 1154586071. The last update date is 2023-07-31.
Jennifer C Peterson's current location address is 1836 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 6087827300. The mailing address for Jennifer C Peterson is 1836 South Ave, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer C Peterson |
|---|---|
| Address | 1836 South Ave, La Crosse, Wisconsin |
| Phone Number | 6087827300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1154586071 |
|---|---|
| Provider Enumeration Date | 2008-07-21 |
| Last Updated Date | 2023-07-31 |
Provider Mailing Address Detail
| Address | 1836 South Ave |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 546015429 |
| Phone Number | 6087827300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 13205 |
|
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 81315 | ND | -- | |
| PENDING | GA | -- |
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What is the unique 10-digit identifier code issued to Jennifer C Peterson by the Centers for Medicare & Medicaid Services?
The Jennifer C Peterson has been assigned the NPI (National Provider Identifier) 1154586071 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jennifer C Peterson is geographically located?
The Jennifer C Peterson is physically situated at the following location: 1836 South Ave, La Crosse, WI, 546015429.
What is the Jennifer C Peterson's specialty and taxonomy code?
The Jennifer C Peterson's specialty is Pediatric Critical Care Medicine, and the corresponding taxonomy code is 2080P0203X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154586071 to Jennifer C Peterson?
The Centers for Medicare & Medicaid Services assigned the 1154586071 to Jennifer C Peterson on 2008-07-21.
As of what date were the Jennifer C Peterson's details last updated?
The information pertaining to the Jennifer C Peterson, including its address, specialty, and other details, was most recently updated on 2023-07-31.