Alcide, Peterson

Alcide, Peterson is an individual health care provider with primary practice located at 166 Anderson St Se Ste 225 , Marietta GA 30060-1984. He recently has 7 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information, Technologists, Technicians & Other Technical Service Providers / Laboratory Management, Technologists, Technicians & Other Technical Service Providers / EEG, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Dietary & Nutritional Service Providers / Dietary Manager, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Alcide, Peterson can be contacted via phone (203) 501-6553.

Contact Information

Primary practice address
166 Anderson St Se Ste 225 Marietta GA 30060-1984
Phone: (203) 501-6553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information 246Y00000X
Technologists, Technicians & Other Technical Service Providers / Laboratory Management 246QL0900X
Technologists, Technicians & Other Technical Service Providers / EEG 2472E0500X
Behavioral Health & Social Service Providers / Counselor 101Y00000X Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Georgia
Dietary & Nutritional Service Providers / Dietary Manager 132700000X Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X Georgia

Profile Details

NPI number 1477153955
LBN Legal business name Alcide, Peterson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2020
Last updated Jun 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477153955 NPPES
Georgia MEDICAID 1609415132
Georgia MEDICAID 1477153955

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