Nathaniel Peterson, is a
Massage Therapist based in Romeo, Michigan. Nathaniel Peterson is licensed to practice in Michigan (license number 7501004865) and his current practice location is
126 W Saint Clair St, Romeo, Michigan. He can be reached at his office (for appointments etc.) via phone at
(586) 651-4712.
NPI number for Nathaniel Peterson is 1396126389 and his current mailing address is 11973 Springbrook Ct, Bruce Twp, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396126389.
Healthcare Provider's Profile
| Full Name | Nathaniel Peterson |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 126 W Saint Clair St, Romeo, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396126389
- Provider Enumeration Date: 06/15/2015
- Last Update Date: 06/15/2015
Medical Identifiers
Medical identifiers for Nathaniel Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396126389 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 7501004865 (Michigan) | 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. Nathaniel 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 Address | Practice Location Address |
|---|
Nathaniel Peterson,
11973 Springbrook Ct,
Bruce Twp, MI 48065-3867
Ph: (586) 651-4712 | Nathaniel Peterson,
126 W Saint Clair St,
Romeo, MI 48065-4654
Ph: (586) 651-4712 |
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