Peterson, Naquiesha
Peterson, Naquiesha is an sole proprietor health care provider with primary practice located at 3510 Ponderosa Ln , Powder Springs GA 30127-2074. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Peterson, Naquiesha can be contacted via phone (470) 339-6500.Contact Information
Primary practice address
3510 Ponderosa Ln
Powder Springs GA 30127-2074
Phone: (470) 339-6500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X |
Profile Details
| NPI number | 1518592716 |
|---|---|
| LBN Legal business name | Peterson, Naquiesha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2020 |
| Last updated | Mar 8th, 2020 - about 4 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 | 1518592716 | NPPES |
| Georgia | Other | CO136709 | PROSTHETIC SPECIALIST |
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