Dale Edmund Petersen Jr., CP
NPI 1184827693ActiveIndividual· Prosthetist· Marianna, FL
Prosthetist (CP) in Marianna, Florida, licensed in FL, with an NPI issued in June 2007.
Overview
| NPI | 1184827693 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CP |
| Sole proprietor | No |
| NPI issued | Jun 11, 2007 |
| Last updated in NPPES | Mar 28, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Prosthetist Primary | 224P00000X | PRO66 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|