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Michelle Lee Peterson Earhart

Case Manager/Care Coordinator in Pomona, CA. Individual provider (NPI-1).

NPI number1063014231
StatusActive
Last updated in NPPESNov 12, 2020

Details

NPI
1063014231
Entity type
Individual (NPI-1)
Name
Michelle Lee Peterson Earhart
Sex
Female
Sole proprietor
No
Enumeration date
Nov 12, 2020
Certification date
Nov 12, 2020
Last updated
Nov 12, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

831 E Arrow Hwy
Pomona, CA 91767-2535

Phone 909-398-4383 · Fax 909-398-1736

Mailing address

831 E Arrow Hwy
Pomona, CA 91767-2535

Phone 909-398-4383 · Fax 909-398-1736

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Case Manager/Care Coordinator providers in Pomona, CA

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