Jonathan Peterson in Wabasha - Geriatric Psychiatry
Jonathan Peterson - NPI 1003882010
Jonathan Peterson is a Geriatric Psychiatry in Wabasha, Minnesota. Jonathan Peterson practices all healthcare services and medical treatments related to Geriatric Psychiatry. The NPI Number for Jonathan Peterson is 1003882010. The last update date is 2007-07-08.
Jonathan Peterson's current location address is 1200 Grant Blvd W, Wabasha, Minnesota. You can contact this provider via phone number 6515655908 and fax number 6515655910. The mailing address for Jonathan Peterson is 1200 Grant Blvd W, Wabasha, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Peterson |
|---|---|
| Address | 1200 Grant Blvd W, Wabasha, Minnesota |
| Phone Number | 6515655908 |
| Fax Number | 6515655910 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003882010 |
|---|---|
| Provider Enumeration Date | 2006-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1200 Grant Blvd W |
|---|---|
| City | Wabasha |
| State | Minnesota (MN) |
| Post Code | 559811042 |
| Phone Number | 6515655908 |
| Fax Number | 6515655910 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Psychiatry |
|---|---|
| Taxonomy | 2084P0805X |
| Licence No | 33320 |
|
Definition: Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
|
Post Comment/ Review Below
What is the Jonathan Peterson's unique identification number?
The Jonathan Peterson has been assigned the NPI (National Provider Identifier) Number 1003882010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jonathan Peterson?
The Jonathan Peterson is physically situated at 1200 Grant Blvd W, in the city of Wabasha, state of MN, with the postal code 559811042.
What is Jonathan Peterson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jonathan Peterson's area of specialization is Geriatric Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0805X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003882010 to Jonathan Peterson?
The Centers for Medicare & Medicaid Services originally issued the 1003882010 to Jonathan Peterson on 2006-02-28.
When was the information regarding Jonathan Peterson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jonathan Peterson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.