Peter James Massoglia, LPN
Individual provider Active NPI Licensed Practical Nurse · Ironwood, MI
NPI 1669790242 · NPPES record last updated May 6, 2010
Key facts
- NPI
- 1669790242
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 310628-031 (WI)
- Practice address
- 117 W Norrie St
Ironwood, MI 49938-2430 - Phone
- (906) 932-8091
- NPI assigned
- May 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310628-031 | WI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 310628-031 | WI | Yes |
Addresses
Primary practice location
117 W Norrie St
Ironwood, MI 49938-2430
Mailing address
117 W Norrie St
Ironwood, MI 49938-2430
Phone (906) 932-8091
Other providers in Ironwood, MI
- Mark E Stempihar, M.D., P.C.
- Mark E Stempihar, M.D., P.C.
- Mark E. Stempihar, M.D., P.C.
- Tina M Marshall
- Gayle J Maslakow
- Mattson Family Chiropractic PC
- Dorian L Mattson
- Monica McCarter
- Michael David McPherson
- Rebecca Lynn Mika
All providers in Ironwood, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.