Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK ALAN PETERSON, EDS
Active Sole ProprietorMARK ALAN PETERSON, EDS is a In Home Supportive Care Agency healthcare provider located in JOHNSTON, Iowa. NPI 1164069696 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · JOHNSTON, IA
Registration Details
- NPI Number
- 1164069696
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 3, 2019 (6.6535264435601 yrs)
- Last Updated
- Dec 3, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
5870 NW 54TH CTJOHNSTON, IA, 501311418Browse IA providers · Browse ZIP 50131
- Phone
- 5154624367
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
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.