Eliza S. Petersen in Livermore - Audiologist
Eliza S. Petersen - NPI 1083750996
Eliza S. Petersen is a Audiologist in Livermore, Colorado. Eliza S. Petersen practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Eliza S. Petersen is 1083750996. The last update date is 2023-04-19.
Eliza S. Petersen's current location address is 1388 Mount Moriah Rd, Livermore, Colorado. You can contact this provider via phone number 3077455587 and fax number 8775151633. The mailing address for Eliza S. Petersen is 1388 Mount Moriah Rd, Livermore, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eliza S. Petersen |
|---|---|
| Address | 1388 Mount Moriah Rd, Livermore, Colorado |
| Phone Number | 3077455587 |
| Fax Number | 8775151633 |
| Sole Proprietor | Y |
| Credentials | AUD, CCCA |
NPI Number Detail
| NPI Number | 1083750996 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2023-04-19 |
Provider Mailing Address Detail
| Address | 1388 Mount Moriah Rd |
|---|---|
| City | Livermore |
| State | Colorado (CO) |
| Post Code | 805369311 |
| Phone Number | 3077455587 |
| Fax Number | 8775151633 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | A-974 |
|
Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807694600 | ID | -- | |
| 125563100 | WY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Eliza S. Petersen by the Centers for Medicare & Medicaid Services?
The Eliza S. Petersen has been assigned the NPI (National Provider Identifier) 1083750996. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Eliza S. Petersen is physically located?
The Eliza S. Petersen is situated at the following address: 1388 Mount Moriah Rd, Livermore, CO 805369311.
What is Eliza S. Petersen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Eliza S. Petersen is Audiologist, and the corresponding taxonomy classification code for this specialized field is 231H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1083750996 to Eliza S. Petersen?
The Centers for Medicare & Medicaid Services assigned the 1083750996 to Eliza S. Petersen on 2007-01-29.
As of what date was the information pertaining to Eliza S. Petersen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Eliza S. Petersen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-04-19.
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