Richard Peterson is a Geriatrics in Appleton, Wisconsin. Richard Peterson practices all healthcare services and medical treatments related to Geriatrics. The NPI Number for Richard Peterson is 1720246036. The last update date is 2008-05-23.
Richard Peterson's current location address is 601 N Briarcliff Dr, Appleton, Wisconsin. You can contact this provider via phone number 9207394466. The mailing address for Richard Peterson is 601 N Briarcliff Dr, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Peterson |
|---|---|
| Address | 601 N Briarcliff Dr, Appleton, Wisconsin |
| Phone Number | 9207394466 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1720246036 |
|---|---|
| Provider Enumeration Date | 2008-05-23 |
| Last Updated Date | 2008-05-23 |
Provider Mailing Address Detail
| Address | 601 N Briarcliff Dr |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549152959 |
| Phone Number | 9207394466 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatrics |
|---|---|
| Taxonomy | 2251G0304X |
| Licence No | 1320-024 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evid |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40070600 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Richard Peterson?
The Richard Peterson has been issued the NPI (National Provider Identifier) 1720246036 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Richard Peterson's physical address?
The Richard Peterson is physically located at 601 N Briarcliff Dr, in the city of Appleton, WI, with the postal code 549152959.
What is Richard Peterson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Richard Peterson is Geriatrics, and the taxonomy code that classifies this field of practice is 2251G0304X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720246036 to Richard Peterson?
The Centers for Medicare & Medicaid Services originally issued the 1720246036 to Richard Peterson on 2008-05-23.
When was the Richard Peterson's information last updated?
The Richard Peterson's information was last updated on 2008-05-23.
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