Peregrine, Roberta J

Peregrine, Roberta J is an sole proprietor health care provider with primary practice located at 2602 Frederick Ave Ste A, Saint Joseph MO 64506-2840. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as her primary health care specialty. Peregrine, Roberta J can be contacted via phone (816) 387-8858.

Contact Information

Primary practice address
2602 Frederick Ave Ste A Saint Joseph MO 64506-2840
Phone: (816) 387-8858
Fax: (816) 387-8858
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1134110893
LBN Legal business name Peregrine, Roberta J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Mar 18th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134110893 NPPES
Missouri Other 27826022 BLUECROSSBLUESHIELD

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