Jesse Peterson, LAC - Acupuncturist in Roseville, MN

Jesse Peterson, LAC is a Acupuncturist based in Roseville, Minnesota. Jesse Peterson is licensed to practice in Minnesota (license number 1333) and his current practice location is 2151 Hamline Ave N Ste 108, Roseville, Minnesota. He can be reached at his office (for appointments etc.) via phone at (612) 242-9630.

NPI number for Jesse Peterson is 1235259946 and his current mailing address is 2151 Hamline Ave N, Suite 108, Roseville, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235259946.

Contact Information

Jesse Peterson, LAC
2151 Hamline Ave N Ste 108,
Roseville, MN 55113-4226
(612) 242-9630
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJesse Peterson
GenderMale
SpecialityAcupuncturist
Location2151 Hamline Ave N Ste 108, Roseville, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235259946
  • Provider Enumeration Date: 03/29/2007
  • Last Update Date: 03/31/2011

Medical Identifiers

Medical identifiers for Jesse Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235259946NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
171100000XAcupuncturist 1333 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jesse Peterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jesse Peterson, LAC
2151 Hamline Ave N, Suite 108,
Roseville, MN 55113-4236

Ph: (612) 242-9630
Jesse Peterson, LAC
2151 Hamline Ave N Ste 108,
Roseville, MN 55113-4226

Ph: (612) 242-9630

Reviews and Comments


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