Susan K. Peterson is a Medical in Fort Wayne, Indiana. Susan K. Peterson practices all healthcare services and medical treatments related to Medical. The NPI Number for Susan K. Peterson is 1205946613. The last update date is 2009-10-29.
Susan K. Peterson's current location address is 11143 Parkview Plaza Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2604848830 and fax number 2604831911. The mailing address for Susan K. Peterson is 11143 Parkview Plaza Dr, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan K. Peterson |
|---|---|
| Address | 11143 Parkview Plaza Dr, Fort Wayne, Indiana |
| Phone Number | 2604848830 |
| Fax Number | 2604831911 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1205946613 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2009-10-29 |
Provider Mailing Address Detail
| Address | 11143 Parkview Plaza Dr |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468451727 |
| Phone Number | 2604848830 |
| Fax Number | 2604831911 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 10000342A |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 528371 | IN | ANTHEM PIN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan K. Peterson by the Centers for Medicare & Medicaid Services?
The Susan K. Peterson has been assigned the NPI (National Provider Identifier) 1205946613 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Susan K. Peterson is physically located?
The Susan K. Peterson is physically situated at the following address: 11143 Parkview Plaza Dr, Fort Wayne, IN, 468451727.
What is Susan K. Peterson's area of expertise and its corresponding taxonomy classification?
The Susan K. Peterson's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
When was the Susan K. Peterson's 1205946613 issued?
The Susan K. Peterson's 1205946613 was issued on 2006-08-30.
As of what date were the details related to Susan K. Peterson most recently updated or revised?
The information pertaining to Susan K. Peterson, including its address, specialty, and other relevant details, was last updated or revised on 2009-10-29.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC