Peregrine, Roberta J
Peregrine, Roberta J is an sole proprietor health care provider with primary practice located at 2602 Frederick Ave Ste A, Saint Joseph MO 64506-2840. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as her primary health care specialty. Peregrine, Roberta J can be contacted via phone (816) 387-8858.Contact Information
Primary practice address
2602 Frederick Ave Ste A
Saint Joseph MO 64506-2840
Phone: (816) 387-8858
Fax: (816) 387-8858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X |
Profile Details
| NPI number | 1134110893 |
|---|---|
| LBN Legal business name | Peregrine, Roberta J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Mar 18th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134110893 | NPPES |
| Missouri | Other | 27826022 | BLUECROSSBLUESHIELD |
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