Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CORRIE JOESPH PELTIER, LADC
Active Sole ProprietorCORRIE JOESPH PELTIER, LADC is a Substance Abuse Rehabilitation Facility healthcare provider located in STACY, Minnesota. NPI 1114070406 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · STACY, MN
Registration Details
- NPI Number
- 1114070406
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2007 (19.580109854697 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1032392-1-CDT (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31065 FOREST BLVD.STACY, MN, 55079Browse MN providers · Browse ZIP 55079
- Phone
- 6504087121
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.