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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.

Location: 524 23Rd St Apt 3, Rock Island, IL, 61201-8934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Rock Island
State
Illinois
Zip
61201-8934
Phone Number
309-433-5760
Fax Number
person
Provider Business Mailing Address Details
Address
524 23Rd St Apt 3
City
Rock Island
State
Illinois
Zip
61201-8934
Phone Number
309-433-5760
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
P36216067618 (Illinois)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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