Alcide, Peterson
Alcide, Peterson is an individual health care provider with primary practice located at 166 Anderson St Se Ste 225 , Marietta GA 30060-1984. He recently has 7 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information, Technologists, Technicians & Other Technical Service Providers / Laboratory Management, Technologists, Technicians & Other Technical Service Providers / EEG, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Dietary & Nutritional Service Providers / Dietary Manager, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Alcide, Peterson can be contacted via phone (203) 501-6553.Contact Information
Primary practice address
166 Anderson St Se Ste 225
Marietta GA 30060-1984
Phone: (203) 501-6553
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information | 246Y00000X | ||
| Technologists, Technicians & Other Technical Service Providers / Laboratory Management | 246QL0900X | ||
| Technologists, Technicians & Other Technical Service Providers / EEG | 2472E0500X | ||
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | Georgia | |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Georgia | |
| Dietary & Nutritional Service Providers / Dietary Manager | 132700000X | Georgia | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor | 225C00000X | Georgia |
Profile Details
| NPI number | 1477153955 |
|---|---|
| LBN Legal business name | Alcide, Peterson |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2020 |
| Last updated | Jun 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477153955 | NPPES |
| Georgia | MEDICAID | 1609415132 | |
| Georgia | MEDICAID | 1477153955 |
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