Jennifer C Peterson
M.D. | Pediatric Critical Care Medicine | Female
Jennifer C Peterson, M.D. is a La Crosse, Wisconsin based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine. Jennifer C Peterson is also known as
Jennifer C Mosher.
Current practice location of Jennifer C Peterson is
1836 South Ave, La Crosse, Wisconsin - 54601-5429. She can be contacted on phone at
608-782-7300.
Jennifer C Peterson is a sole proprietor of her business.
NPI number (Unique professional ID) for Jennifer C Peterson is
1154586071 which was assigned by NPPES on 21 Jul, 2008 and it was last updated on 07 Jun, 2016.
Jennifer C Peterson license number is
53734 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Wisconsin.
Jennifer C Peterson is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Jennifer C Peterson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Jennifer C Peterson |
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| Other Name : | Jennifer C Mosher |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Jennifer C Peterson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1836 South Ave
La Crosse, WI, 54601-5429
United States |
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| Phone Number : | 608-782-7300 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1154586071 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Jul, 2008 |
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| Last Updated On : | 07 Jun, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer C Peterson are as mentioned. Primary taxonomy code for Jennifer C Peterson, M.D. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | 13205 | ND |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | 075484 | GA |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 53734 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Jennifer C Peterson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 81315 | MEDICAID | ND | |
| PENDING | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1836 South Ave
La Crosse, WI, 54601-5429
United States |
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| Phone Number : | 608-782-7300 |
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Business Location:
Patients can refer following map for directions to
Jennifer C Peterson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.