Peterson, Anna Mary

Peterson, Anna Mary is an individual health care provider with primary practice located at 200 1St St Sw , Rochester MN 55905-0001. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Peterson, Anna Mary can be contacted via phone (507) 284-2511.

Contact Information

Primary practice address
200 1St St Sw Rochester MN 55905-0001
Phone: (507) 284-2511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 5914 Minnesota

Profile Details

NPI number 1376523993
LBN Legal business name Peterson, Anna Mary
Credentials CCC-ASHA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jun 8th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376523993 NPPES
Iowa MEDICAID ENROLLED
Iowa MEDICAID ENROLLED

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