Clinton Jerome Petersen in Gillette - Chiropractor
Clinton Jerome Petersen - NPI 1770521221
Clinton Jerome Petersen is a Chiropractor in Gillette, . Clinton Jerome Petersen practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Clinton Jerome Petersen is 1770521221. The last update date is 2018-02-12.
Clinton Jerome Petersen's current location address is 3805 S Douglas Hwy, Gillette, . You can contact this provider via phone number 3076860303 and fax number 3076862882. The mailing address for Clinton Jerome Petersen is 3805 S Douglas Hwy, Gillette, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clinton Jerome Petersen |
|---|---|
| Address | 3805 S Douglas Hwy, Gillette, |
| Phone Number | 3076860303 |
| Fax Number | 3076862882 |
| Sole Proprietor | X |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1770521221 |
|---|---|
| Provider Enumeration Date | 2006-06-04 |
| Last Updated Date | 2018-02-12 |
Provider Mailing Address Detail
| Address | 3805 S Douglas Hwy |
|---|---|
| City | Gillette |
| State | (WY) |
| Post Code | 827186554 |
| Phone Number | 3076860303 |
| Fax Number | 3076862882 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 623 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Post Comment/ Review Below
What is the unique identifier code issued to Clinton Jerome Petersen by the Centers for Medicare & Medicaid Services (CMS)?
The Clinton Jerome Petersen has been assigned the NPI (National Provider Identifier) 1770521221. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Clinton Jerome Petersen located?
The Clinton Jerome Petersen is located at 3805 S Douglas Hwy, Gillette, WY 827186554.
What is Clinton Jerome Petersen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Clinton Jerome Petersen is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date was the 1770521221 assigned to Clinton Jerome Petersen?
The Clinton Jerome Petersen was issued its 1770521221 on 2006-06-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Clinton Jerome Petersen most recently updated or refreshed?
The details pertaining to the Clinton Jerome Petersen, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-02-12.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM