1669944062 NPI number — PERPETUA PETERSEN CARE COORDINATOR

Table of content: PERPETUA PETERSEN CARE COORDINATOR (NPI 1669944062)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669944062 NPI number — PERPETUA PETERSEN CARE COORDINATOR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PETERSEN
Provider First Name:
PERPETUA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CARE COORDINATOR
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
OBONO EYENE OBONO
Provider Other First Name:
PERPETUA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1669944062
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/23/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
601 NE FLOWER MOUND RD LOT 183
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAWTON
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73507-7222
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-495-8121
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
713 SW C AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAWTON
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73501-4311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-926-6552
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/23/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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