Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY PETERSON JR.
Active Sole ProprietorTRACY PETERSON JR. is a Community Health Worker healthcare provider located in BRISTOLVILLE, Ohio. NPI 1205245727 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · BRISTOLVILLE, OH
Registration Details
- NPI Number
- 1205245727
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2014 (12.059187824085 yrs)
- Last Updated
- Sep 23, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
833 GREENVILLE RD NEBRISTOLVILLE, OH, 444029767Browse OH providers · Browse ZIP 44402
- Phone
- 3309803501
- Primary Specialty
-
Community Health Worker
172V00000X
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.