National Provider Identifier Database

ROBERTA J PEREGRINE
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

ROBERTA J PEREGRINE
2602 FREDERICK AVE
STE A
SAINT JOSEPH, MO64506-2840
Phone: 816-387-8858
Fax: 816-387-8858
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for ROBERTA J PEREGRINE

NPI Number 1134110893
Credentials
Entity Individual
Enumeration date 11/02/2005
Last updated 03/18/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • MO Other: 27826022 BLUECROSSBLUESHIELD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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