NPI 1407661192

Christopher Lee Peterson

Practitioner Private Vehicle Omaha, NE

Practice location

Address: 16267 Jefferson St, Omaha, NE 68135-6361
Phone: (402) 689-7463

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence H12894671 (NE)

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Registry record

NPI: 1407661192
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Feb 2025
Record last updated: 10 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.