Jennifer L Petersen in Fairlawn - Surgical
Jennifer L Petersen - NPI 1871689174
Jennifer L Petersen is a Surgical in Fairlawn, Ohio. Jennifer L Petersen practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jennifer L Petersen is 1871689174. The last update date is 2013-04-25.
Jennifer L Petersen's current location address is 762 S Cleveland Massillon Rd, Fairlawn, Ohio. You can contact this provider via phone number 3306654100 and fax number 3306654190. The mailing address for Jennifer L Petersen is 762 S Cleveland Massillon Rd, Fairlawn, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer L Petersen |
|---|---|
| Address | 762 S Cleveland Massillon Rd, Fairlawn, Ohio |
| Phone Number | 3306654100 |
| Fax Number | 3306654190 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1871689174 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2013-04-25 |
Provider Mailing Address Detail
| Address | 762 S Cleveland Massillon Rd |
|---|---|
| City | Fairlawn |
| State | Ohio (OH) |
| Post Code | 443333024 |
| Phone Number | 3306654100 |
| Fax Number | 3306654190 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 50002511 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer L Petersen by the Centers for Medicare & Medicaid Services (CMS)?
The Jennifer L Petersen has been assigned the NPI (National Provider Identifier) 1871689174. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jennifer L Petersen?
The Jennifer L Petersen is physically situated at 762 S Cleveland Massillon Rd, in the city of Fairlawn, state of OH, with the postal code 443333024.
What is the Jennifer L Petersen's specialty and taxonomy code?
The Jennifer L Petersen's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
When did the Jennifer L Petersen receive its 1871689174?
The Jennifer L Petersen was issued its 1871689174 on 2006-10-05, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Jennifer L Petersen most recently updated or revised?
The details related to Jennifer L Petersen, including its address, specialty, and other relevant information, were last updated or revised on 2013-04-25.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY