Timothy Dee Petersen in Rocklin - Chiropractor
Timothy Dee Petersen - NPI 1891853453
Timothy Dee Petersen is a Chiropractor in Rocklin, California. Timothy Dee Petersen practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Timothy Dee Petersen is 1891853453. The last update date is 2011-09-27.
Timothy Dee Petersen's current location address is 2351 Sunset Blvd, Rocklin, California. You can contact this provider via phone number 9166242500 and fax number 9166244196. The mailing address for Timothy Dee Petersen is 2351 Sunset Blvd, Rocklin, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Dee Petersen |
|---|---|
| Address | 2351 Sunset Blvd, Rocklin, California |
| Phone Number | 9166242500 |
| Fax Number | 9166244196 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1891853453 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2011-09-27 |
Provider Mailing Address Detail
| Address | 2351 Sunset Blvd |
|---|---|
| City | Rocklin |
| State | California (CA) |
| Post Code | 95765 |
| Phone Number | 9166242500 |
| Fax Number | 9166244196 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 21088 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| TP1003401 | CA | HSHP | |
| DC0210880 5422 | CA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Timothy Dee Petersen by the Centers for Medicare & Medicaid Services (CMS)?
The Timothy Dee Petersen has been assigned the NPI (National Provider Identifier) 1891853453. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Timothy Dee Petersen's facilities are situated?
The facilities of Timothy Dee Petersen are physically located at the following address: 2351 Sunset Blvd, Rocklin, CA, 95765.
What is the area of specialization for Timothy Dee Petersen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Timothy Dee Petersen is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1891853453 to Timothy Dee Petersen?
The Centers for Medicare & Medicaid Services assigned the 1891853453 to Timothy Dee Petersen on 2006-12-05.
When was the Timothy Dee Petersen's information last updated?
The Timothy Dee Petersen's information was last updated on 2011-09-27.
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