person
Denise Peterson
Private Vehicle in Rock Island, Illinois
NPI 1548708407

Denise Peterson is a Private Vehicle based in Rock Island, IL. Denise Peterson practices in Rock Island, IL. The NPI Number for Denise Peterson is 1548708407 and holds a License No. P36216067618 (Illinois).

The current practice location address for Denise Peterson is 524 23Rd St Apt 3, Rock Island, IL and can be reached out via phone at 309-433-5760. You can also correspond with Denise Peterson through the mailing address at 524 23RD ST APT 3, ROCK ISLAND, IL - 61201-8934 (mailing address contact number: 309-433-5760).

Location: 524 23Rd St Apt 3, Rock Island, IL, 61201-8934
person
Provider Profile Details
NPI Number
1548708407
Provider Name
Denise Peterson
Credential
Provider Entity Type
Individual
Gender
Female
Address
524 23Rd St Apt 3, Rock Island, IL, 61201-8934
Phone Number
309-433-5760
Fax Number
Provider Enumeration Date
02/10/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
147733117 05 IL
institution
Provider Business Practice Location Address Details
Address
524 23Rd St Apt 3
City
State
Zip
61201-8934
Phone Number
309-433-5760
Fax Number
person
Provider Business Mailing Address Details
Address
524 23Rd St Apt 3
City
State
Zip
61201-8934
Phone Number
309-433-5760
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
P36216067618 (Illinois)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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